go back

Georgia 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
$0.82 / $0.82 / $1.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.84 / $1.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.33 / $3.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.74 / $2.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.89 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $13.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.91 / $98.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $1.33 / $2.00