go back

Louisiana 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
$0.76 / $0.79 / $0.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.83 / $0.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.91 / $0.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.40 / $752.40 / $752.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.98 / $1.55