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Enteral Formula, Modular, Nutritionally Incomplete

Rhode Island 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?

$0.65

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $0.65 for this service. Most negotiated rates run $0.51 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $2Professionalmedian $1 · 10th to 90th $1 to $1
$0.5$1$2facility $2professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.51
Median
$0.51
Typical High
$0.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.86
Typical High
$2.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.65
Typical High
$0.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$1.00
Typical High
$1.32

Where Rhode Island 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.

Rhode Island· 46th of 51

$0.65

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.