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Enteral Formula, Nutritionally Complete, Calorically Dense

West 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

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$00%50%$0Professionalmedian $0 · 10th–90th $0$10%20%40%10th90th$0$0.2$0.5$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.20
Median
$0.20
Typical High
$0.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.20
Median
$0.20
Typical High
$0.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.69
Median
$0.69
Typical High
$0.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$4.57
Typical High
$4.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.50
Typical High
$0.81