go back

Enteral Formula, Nutritionally Complete, Calorically Dense

South Dakota 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 October 2026.

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

$0.41

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $0.41 for this service. Most negotiated rates run $0.38 to $0.56.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$0.5$1facility $1professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.33
Median
$0.33
Typical High
$0.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.33
Median
$0.56
Typical High
$0.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.38
Median
$0.47
Typical High
$0.47
Medica
Setting
Facility
Modifier
None
Typical Low
$0.58
Median
$0.95
Typical High
$0.95
Medica
Setting
Professional
Modifier
None
Typical Low
$0.15
Median
$0.37
Typical High
$0.68
Midlands
Setting
Professional
Modifier
None
Typical Low
$0.62
Median
$0.62
Typical High
$0.62
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$0.38
Median
$0.38
Typical High
$0.58
United
Setting
Professional
Modifier
None
Typical Low
$0.14
Median
$0.15
Typical High
$0.68
Wellmark
Setting
Professional
Modifier
None
Typical Low
$0.58
Median
$0.58
Typical High
$0.58

Where South Dakota sits

The same service costs 3.1 times more in Florida than in Alabama. 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.

South Dakota· 23rd of 51

$0.41

FL $0.74AL $0.24

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.