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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

Facilitymedian $0 · 10th–90th $0–$890%20%10th90th$0Professionalmedian $1 · 10th–90th $0–$10%10%10th90th$1$0.2$1.0$5.0$20.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.66 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $0.58 / $0.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.44 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.44 / $0.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.66 / $1.15
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13