go back

South 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
$0.44 / $0.44 / $0.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.41 / $0.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.56 / $0.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.48 / $0.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.38 / $0.72