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Ohio 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%10%20%10th90th$1$0.2$0.5$1.0$2.0$5.0

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
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.49 / $0.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.52 / $0.85
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.87 / $1.15
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.78 / $1.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.65 / $0.98