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Enteral Formula, Nutritionally Complete, Calorically Dense

New Mexico 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?

$0.40

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $0.40 for this service. The price depends on where it is billed: about $0.40 from a physician practice, and about $0.39 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.40$0.38 to $0.40
FacilityA hospital or hospital-owned outpatient department$0.39$0.39 to $0.39

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $0 · 10th to 90th $0 to $2
$0.5$1$2facility $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
$0.40
Median
$0.40
Typical High
$0.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.40
Typical High
$1.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.30
Typical High
$0.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$0.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.32
Median
$0.40
Typical High
$2.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.28
United
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.39
Typical High
$0.39
United
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.72
Typical High
$1.02

Where New Mexico 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 Mexico· 21st of 51

$0.40

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.