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Arkansas 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 $524,807 · 10th–90th $218,776–$954,9930%20%10th90th$524,807Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$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
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.66 / $1.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.55 / $0.83