go back

Iowa 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 $1 · 10th–90th $0–$890%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$20%10%20%10th90th$1$0.2$1.0$5.0$20.0$100.0

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
$1.66 / $1.66 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.47 / $0.50
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.74 / $1.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.76 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.66 / $1.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.72 / $0.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.39 / $0.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.42 / $1.02
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.56