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Enteral Formula, Modular, Nutritionally Incomplete

Oregon 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?

$1.07

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $1.07 for this service. The price depends on where it is billed: about $2.29 from a physician practice, and about $0.98 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.29$0.91 to $5.89
FacilityA hospital or hospital-owned outpatient department$0.98$0.89 to $1.12

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $2 · 10th to 90th $1 to $6
$0.5$1$2$5$10$20$50facility $1professional $2

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
$0.81
Median
$0.81
Typical High
$0.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2.04
Median
$2.51
Typical High
$2.63
Moda Health
Setting
Facility
Modifier
None
Typical Low
$0.81
Median
$0.91
Typical High
$1.95
Moda Health
Setting
Professional
Modifier
None
Typical Low
$0.81
Median
$0.89
Typical High
$0.98
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$0.89
Median
$0.89
Typical High
$1.07
Providence
Setting
Facility
Modifier
None
Typical Low
$0.72
Median
$1.86
Typical High
$3.63
Providence
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$5.89
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$0.91
Median
$1.58
Typical High
$3.89
United
Setting
Professional
Modifier
None
Typical Low
$1.17
Median
$1.82
Typical High
$3.09

Where Oregon 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.

Oregon· 10th of 51

$1.07

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.