go back

Minnesota 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 $2 · 10th–90th $1–$60%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$1$0.5$2.0$10.0$50.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.47 / $3.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.23 / $1.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.23 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.51 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.32 / $1.45
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.63 / $7.08
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.17 / $14.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.85 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.93 / $1.78