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Louisiana 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–$00%50%90th$0Professionalmedian $0 · 10th–90th $0–$10%10%10th90th$0$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
$1.74 / $1.74 / $1.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.50
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.49 / $0.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.55 / $0.85