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Enteral Formula, Nutritionally Complete, Calorically Dense

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

Rates data updated October 2026.

How much does Enteral Formula, Nutritionally Complete, Calorically Dense cost?

$0.58

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $0.58 for this service. Most negotiated rates run $0.36 to $0.79.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $89Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$1$5$20$100facility $1professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.26
Median
$0.55
Typical High
$0.55
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$0.04
Median
$0.08
Typical High
$0.08
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$0.03
Median
$0.06
Typical High
$0.06
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.21
Median
$0.26
Typical High
$0.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.03
Median
$0.04
Typical High
$0.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.02
Median
$0.03
Typical High
$0.06
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.38
Median
$0.47
Typical High
$0.76
Hally Health
Setting
Professional
Modifier
None
Typical Low
$0.38
Median
$0.74
Typical High
$1.15
Medica
Setting
Facility
Modifier
None
Typical Low
$0.58
Median
$0.72
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$0.23
Median
$0.63
Typical High
$1.23
Midlands
Setting
Professional
Modifier
None
Typical Low
$0.65
Median
$0.65
Typical High
$0.81
United
Setting
Professional
Modifier
None
Typical Low
$0.23
Median
$0.38
Typical High
$1.48
Wellmark
Setting
Professional
Modifier
None
Typical Low
$0.58
Median
$0.58
Typical High
$0.58

Where Iowa sits

The same service costs 3.1 times more in Florida than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 6th of 51

$0.58

FL $0.74AL $0.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.