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
$0.76 / $0.82 / $0.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.82 / $0.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.85 / $1.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.74 / $1.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $2.11 / $2.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $1.15 / $1.81