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Connecticut rates for HCPCS B4154

Enteral Formulae Nutritionally Complete For Special Metabolic Needs Excludes Nteral Feeding Tube 100 Calories = 1 Unit (Special Coverage Instructions Apply. See Cim: 65-10 And

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.66 / $0.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.80 / $0.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $1.20 / $1.47