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North Carolina 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
$0.41 / $0.41 / $0.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.41 / $0.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.64 / $0.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.44 / $0.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.66 / $1.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.00 / $90.00