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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 July 2026.

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

$0.89

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $0.89 for this service. The price depends on where it is billed: about $0.87 from a physician practice, and about $1.78 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 7 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$0.87$0.68 to $1.41
FacilityA hospital or hospital-owned outpatient department$1.78$1.26 to $1.78

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $2
$0.5$2$10$50facility $2professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$0.83
Typical High
$1.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.38
Typical High
$1.41
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.41
Typical High
$3.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$1.41
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.47
Median
$1.23
Typical High
$1.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.41
Typical High
$1.51
United
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$0.91
Typical High
$0.91
United
Setting
Professional
Modifier
Global
Typical Low
$0.47
Median
$1.02
Typical High
$1.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.12

Where Iowa 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.

Iowa· 17th of 51

$0.89

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.