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Enteral Formula, Nutritionally Complete, Calorically Dense

Nebraska 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.

Facilitymedian $0 · 10th–90th $0$890%50%90th$0Professionalmedian $0 · 10th–90th $0$20%20%40%10th90th$0$0.2$1.0$5.0$20.0$100.0$500.0

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
Setting
Facility
Modifier
Global
Typical Low
$0.44
Median
$0.44
Typical High
$0.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$0.44
Typical High
$1.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.37
Typical High
$0.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.47
Typical High
$0.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.44
Median
$0.72
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.18
Median
$0.38
Typical High
$1.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.62
Median
$0.72
Typical High
$0.72
United
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.39
Typical High
$0.39
United
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.38
Typical High
$1.26