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Enteral Formula, Modular, Nutritionally Incomplete

Nebraska 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?

$0.87

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $0.87 for this service. The price depends on where it is billed: about $0.79 from a physician practice, and about $676 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.79$0.47 to $1.23
FacilityA hospital or hospital-owned outpatient department$676$1.74 to $891

How much rates vary

Facilitymedian $676 · 10th to 90th $1 to $1,549Professionalmedian $1 · 10th to 90th $0 to $2
$1$10$100$1Kfacility $676professional $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
$0.87
Median
$0.87
Typical High
$1.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.62
Median
$0.87
Typical High
$0.87
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$831.76
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$1.23
Typical High
$1.41
Medica
Setting
Facility
Modifier
None
Typical Low
$0.91
Median
$1.58
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$0.37
Median
$0.79
Typical High
$2.75
Midlands
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$1.23
Typical High
$1.38
United
Setting
Professional
Modifier
None
Typical Low
$0.34
Median
$0.71
Typical High
$2.88

Where Nebraska 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.

Nebraska· 31st of 51

$0.87

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.