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Enteral Formula, Nutritionally Complete, Calorically Dense

Kentucky 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?

$0.44

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $0.44 for this service. The price depends on where it is billed: about $0.44 from a physician practice, and about $0.28 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 5 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$0.44$0.28 to $0.60
FacilityA hospital or hospital-owned outpatient department$0.28$0.26 to $0.42

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$0.5$1$2$5facility $0professional $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
Facility
Modifier
Global
Typical Low
$0.26
Median
$0.26
Typical High
$0.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$0.44
Typical High
$1.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.39
Typical High
$0.39
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.60
Typical High
$0.60
CareSource
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.69
Median
$0.69
Typical High
$0.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$4.57
Typical High
$4.57
United
Setting
Facility
Modifier
Global
Typical Low
$0.46
Median
$0.46
Typical High
$0.46
United
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.56
Typical High
$0.83

Where Kentucky 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.

Kentucky· 14th of 51

$0.44

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.