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Washington, DC rates for HCPCS B4152

Enteral Formula Nutritionally Complete Calorically Dense (Equal To Or Greater Ough An Enteral Feeding Tube 100 Calories = 1 Unit (Special Coverage Instructions Apply. See Cim: 6

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.40 / $1.15