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Massachusetts 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
$0.27 / $0.27 / $0.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.27 / $0.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.44 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.38 / $0.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.70 / $1.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.53 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.47 / $0.81