go back

Enteral Formula, Nutritionally Complete, Calorically Dense

Hawaii 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

Rates data updated July 2026.

Professionalmedian $1 · 10th–90th $1$10%50%90th$1

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
HMSA
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.59
United
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.78
Typical High
$0.78