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New York 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–$10%50%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%20%10th90th$0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.47 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $50,118.72 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $1.95
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.65 / $1.51
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.58 / $1.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.48 / $0.52
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.40 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.51 / $1.00
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.48 / $0.52
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.48 / $0.54