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Oregon 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
Professional
Modifier
Low / Median / High Price
$0.59 / $0.82 / $2.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $1.43 / $1.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.17 / $1.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.80 / $1.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.84 / $2.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.12 / $2.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.05 / $1.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.25 / $3.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.64 / $2.58