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Enteral Formula, Nutritionally Complete, Calorically Dense

New Jersey 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.

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

$0.28

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $0.28 for this service. Most negotiated rates run $0.25 to $0.31.

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.

How much rates vary

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

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$0.26
Typical High
$0.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.21
Median
$0.26
Typical High
$0.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.46
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.30
Median
$0.30
Typical High
$0.30
United
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.39
Typical High
$0.39
United
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.40
Typical High
$0.87

Where New Jersey sits

The same service costs 2.6 times more in Hawaii than in West Virginia. 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.

New Jersey· 47th of 51

$0.28

HI $0.59WV $0.23

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.