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Iowa rates for HCPCS B4150

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Facilitymedian $1 · 10th–90th $0–$890%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$20%10%20%10th90th$1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.47 / $0.50
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.69 / $1.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.91 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.81 / $1.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.89 / $0.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.48 / $0.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.52 / $1.23
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71