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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.66 / $1.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.34 / $0.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.37 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $1.10 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.38 / $0.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.39 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.52 / $0.91