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Oregon 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%50%90th$0Professionalmedian $1 · 10th–90th $0–$20%20%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
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.79 / $0.85
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.52 / $0.93
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.52 / $2.00
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.72 / $1.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.71 / $2.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.91 / $1.45