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Enteral Formula, Modular, Nutritionally Incomplete

Oklahoma 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?

$0.85

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $0.85 for this service. The price depends on where it is billed: about $0.85 from a physician practice, and about $0.93 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 5 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$0.85$0.81 to $0.85
FacilityA hospital or hospital-owned outpatient department$0.93$0.85 to $0.93

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $1
$0.5$1$2$5$10facility $1professional $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
$0.81
Median
$0.81
Typical High
$0.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$0.85
Typical High
$0.85
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$0.85
Typical High
$0.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$1.15
Typical High
$16.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.81
Typical High
$1.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.93
Median
$0.93
Typical High
$0.93
United
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.85
Typical High
$1.23

Where Oklahoma 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.

Oklahoma· 26th of 51

$0.85

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.