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Enteral Formula, Nutritionally Complete, Calorically Dense

Idaho 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.

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

$0.41

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $0.41 for this service. The price depends on where it is billed: about $0.40 from a physician practice, and about $0.62 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.40$0.38 to $0.42
FacilityA hospital or hospital-owned outpatient department$0.62$0.50 to $0.76

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
$0.2$0.5$1facility $1professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.40
Typical High
$0.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.48
Median
$0.68
Typical High
$1.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.42
Typical High
$2.45
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$0.39
Median
$0.41
Typical High
$0.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$0.50
Median
$0.52
Typical High
$0.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.41
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.41
Median
$0.41
Typical High
$1.07
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.41
Median
$0.41
Typical High
$0.41
United
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.58
Typical High
$0.93

Where Idaho sits

The same service costs 2.6 times more in Hawaii than in West Virginia. 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.

Idaho· 16th of 51

$0.41

HI $0.59WV $0.23

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.