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Enteral Formula, Nutritionally Complete, Calorically Dense

North Carolina 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 October 2026.

How much does Enteral Formula, Nutritionally Complete, Calorically Dense cost?

$0.41

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $0.41 for this service. The price depends on where it is billed: about $0.41 from a physician practice, and about $0.41 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.41$0.41 to $0.56
FacilityA hospital or hospital-owned outpatient department$0.41$0.41 to $0.41

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$0.5$1facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.41
Median
$0.41
Typical High
$0.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.41
Median
$0.41
Typical High
$0.41
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.06
Median
$0.06
Typical High
$0.06
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.04
Median
$0.04
Typical High
$0.04
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$0.58
Median
$0.58
Typical High
$0.69
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$0.43
Median
$0.43
Typical High
$0.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Medcost
Setting
Facility
Modifier
None
Typical Low
$0.26
Median
$0.41
Typical High
$0.48
Medcost
Setting
Professional
Modifier
None
Typical Low
$0.54
Median
$0.54
Typical High
$0.54
United
Setting
Professional
Modifier
None
Typical Low
$0.16
Median
$0.56
Typical High
$1.15

Where North Carolina sits

The same service costs 3.1 times more in Florida than in Alabama. 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.

North Carolina· 25th of 51

$0.41

FL $0.74AL $0.24

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.