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Kentucky rates for HCPCS B4152

Enteral Formula Nutritionally Complete Calorically Dense (Equal To Or Greater Ough An Enteral Feeding Tube 100 Calories = 1 Unit (Special Coverage Instructions Apply. See Cim: 6

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.60 / $0.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $1.93 / $3.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.53 / $0.84