go back

Enteral Formula, Modular, Nutritionally Incomplete

Maryland 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?

$0.98

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $0.98 for this service. Most negotiated rates run $0.91 to $1.26.

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.

How much rates vary

Professionalmedian $1 · 10th to 90th $1 to $2
$0.5$1$2$5professional $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
Professional
Modifier
None
Typical Low
$0.91
Median
$0.91
Typical High
$1.26
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.14
Median
$0.14
Typical High
$0.19
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.09
Median
$0.09
Typical High
$0.13
CareFirst
Setting
Professional
Modifier
None
Typical Low
$0.98
Median
$0.98
Typical High
$0.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$0.89
Median
$1.05
Typical High
$1.29
United
Setting
Professional
Modifier
None
Typical Low
$0.47
Median
$0.98
Typical High
$1.95
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1.58
Median
$1.58
Typical High
$1.58

Where Maryland 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.

Maryland· 22nd of 51

$0.98

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.