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Nevada 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.92 / $2.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.80 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $19.13
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $1.14 / $1.68