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Kentucky 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 $0 · 10th–90th $0–$10%20%40%10th90th$0Professionalmedian $1 · 10th–90th $0–$10%20%40%10th90th$1$0.2$1.0$5.0$20.0

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
$1.74 / $2.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $0.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.71 / $0.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.45
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $2.29 / $2.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.69 / $1.02