go back

Florida 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
$0.46 / $0.66 / $0.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.66 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.02 / $1.48
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $1.00 / $1.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83