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New York 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–$10%50%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.59 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $50,118.72 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $2.29
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.76 / $1.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.81 / $1.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.59 / $0.62
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.48 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.63 / $1.23
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $0.59 / $0.60
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.59 / $0.71