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Nationwide rates for HCPCS B4153

Enteral Formula Nutritionally Complete Hydrolyzed Proteins (Amino Accis And Ing Tube 100 Calories = 1 Unit (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.41 / $1.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.41 / $1.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.54 / $2.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.28 / $1.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.85 / $2.88