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Enteral Formula, Modular, Nutritionally Incomplete

North Dakota 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?

$0.85

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $0.85 for this service. Most negotiated rates run $0.76 to $1.00.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

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

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.69
Median
$0.69
Typical High
$0.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.46
Median
$0.69
Typical High
$0.87
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$0.76
Median
$0.85
Typical High
$1.00
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$0.89
Median
$1.02
Typical High
$1.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$1.12
Typical High
$1.41
Medica
Setting
Facility
Modifier
None
Typical Low
$0.69
Median
$0.69
Typical High
$2.04
Medica
Setting
Professional
Modifier
None
Typical Low
$0.47
Median
$1.41
Typical High
$1.58
United
Setting
Professional
Modifier
None
Typical Low
$0.27
Median
$0.85
Typical High
$1.58

Where North Dakota 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.

North Dakota· 33rd of 51

$0.85

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.