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Virginia 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–$10%50%90th$1Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.95 / $1.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $1.00 / $1.20
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $0.68
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $1.17 / $4,897.79
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $1.10 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $1.12 / $1.70