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Enteral Formula, Modular, Nutritionally Incomplete

Iowa 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 October 2026.

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

$1.23

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $1.23 for this service. Most negotiated rates run $0.78 to $1.70.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $89Professionalmedian $1 · 10th to 90th $0 to $2
$0.5$2$10$50facility $2professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.62
Median
$1.78
Typical High
$1.78
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$0.09
Median
$0.27
Typical High
$0.27
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$0.06
Median
$0.18
Typical High
$0.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.47
Median
$0.62
Typical High
$1.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.07
Median
$0.09
Typical High
$0.27
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.05
Median
$0.06
Typical High
$0.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$1.41
Typical High
$1.48
Hally Health
Setting
Professional
Modifier
None
Typical Low
$0.85
Median
$1.41
Typical High
$2.75
Medica
Setting
Facility
Modifier
None
Typical Low
$0.83
Median
$1.41
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$0.49
Median
$1.23
Typical High
$2.40
Midlands
Setting
Professional
Modifier
None
Typical Low
$1.23
Median
$1.23
Typical High
$1.55
United
Setting
Professional
Modifier
None
Typical Low
$0.47
Median
$0.79
Typical High
$2.51
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$1.12
Typical High
$1.12

Where Iowa sits

The same service costs 3.6 times more in Florida than in Alabama. 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.

Iowa· 5th of 51

$1.23

FL $1.70AL $0.47

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.