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New Jersey 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
$0.52 / $0.57 / $0.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.57 / $0.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.80 / $1.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.64 / $0.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.83 / $1.64