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Nationwide rates for HCPCS B4152

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) 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–$20%50%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.66 / $1.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.35 / $0.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.37 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $1.20 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.38 / $0.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.39 / $0.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.54 / $0.93

See more rates by state

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