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Enteral Formula, Modular, Nutritionally Incomplete

Alaska rates for HCPCS B4155

Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit

Rates data updated July 2026.

How much does Enteral Formula, Modular, Nutritionally Incomplete cost?

$1.17

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $1.17 for this service. The price depends on where it is billed: about $1.17 from a physician practice, and about $1.17 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.17$1.17 to $3.39
FacilityA hospital or hospital-owned outpatient department$1.17$1.00 to $1.17

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $21Professionalmedian $1 · 10th to 90th $1 to $4
$1$2$5$10$20$50facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$0.71
Typical High
$3.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$1.17
Typical High
$20.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.23
Typical High
$3.98
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$1.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$1.00
Typical High
$20.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.41
Typical High
$2.95

Where Alaska sits

The same service costs 3.6 times more in Wyoming than in Maine. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 5th of 51

$1.17

WY $1.78ME $0.49

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.