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Louisiana 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

Facilitymedian $1 · 10th–90th $1$10%50%90th$1Professionalmedian $1 · 10th–90th $0$20%20%10th90th$1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.66
Median
$0.66
Typical High
$0.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$0.91
Typical High
$0.91
Christus
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
United
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.85
Typical High
$1.00
United
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$0.98
Typical High
$1.55