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Massachusetts 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$120%20%40%10th90th$1Professionalmedian $1 · 10th–90th $0$30%10%20%10th90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.16 / $3.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.93 / $89.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.78 / $1.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $1.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.82 / $1.82
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $1.17 / $2.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.93 / $89.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.78 / $1.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $1.20 / $2.00