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Enteral Formula, Modular, Nutritionally Incomplete

New Jersey 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?

$0.55

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $0.55 for this service. Most negotiated rates run $0.45 to $0.63.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $1 · 10th to 90th $0 to $1
$0.5$1$2$5facility $0professional $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
$0.40
Median
$0.45
Typical High
$0.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.40
Median
$0.45
Typical High
$0.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.06
Median
$0.07
Typical High
$0.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.04
Median
$0.05
Typical High
$0.06
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$0.63
Median
$0.63
Typical High
$0.63
United
Setting
Professional
Modifier
None
Typical Low
$0.47
Median
$0.76
Typical High
$1.45

Where New Jersey 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.

New Jersey· 50th of 51

$0.55

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.