search again

Nationwide rates for HCPCS B4154

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.07 / $3.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.69 / $1.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.79 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.19 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.41 / $1.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.79 / $0.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $1.15 / $2.00