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Enteral Formula, Nutritionally Complete, Calorically Dense

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $0.44 for this service. Most negotiated rates run $0.39 to $0.44.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$0.5facility $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
Professional
Modifier
Global
Typical Low
$0.21
Median
$0.44
Typical High
$0.62
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$0.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.43
Typical High
$0.71
United
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.39
Typical High
$0.39
United
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.48
Typical High
$0.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.51
Median
$0.51
Typical High
$0.51

Where Maryland 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.

Maryland· 13th 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.