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Michigan 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

Facilitymedian $1 · 10th–90th $0–$20%5%10%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.45 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $1.17 / $2.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.44 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.49 / $2.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.71 / $0.98
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.31 / $0.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.40 / $0.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.54 / $0.78