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Enteral Formula, Nutritionally Complete, Calorically Dense

Utah 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.

Facilitymedian $0 · 10th–90th $0$00%50%90th$0Professionalmedian $0 · 10th–90th $0$00%50%10th90th$0$0.2$0.5

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
Setting
Facility
Modifier
Global
Typical Low
$0.27
Median
$0.27
Typical High
$0.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.27
Median
$0.38
Typical High
$0.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$0.41
Median
$0.46
Typical High
$0.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.41
Median
$0.41
Typical High
$0.41
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$0.41
Typical High
$0.41
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.55
Typical High
$0.72