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Virginia 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%90th$0Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.47 / $0.85
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.41 / $0.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.33
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.54 / $3,548.13
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.54 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.40 / $0.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.51 / $0.79