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Rhode Island rates for HCPCS B4150

Enteral Formula Nutritionally Complete With Intact Nutrients Includes N Enteral Feeding Tube 100 Calories = 1 Unit (Special Coverage Instructions Apply. See Cim: 65-10 A

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.94 / $1.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.46 / $0.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.63 / $0.74