Enteral Formula, Modular, Nutritionally Incomplete

Vermont 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?

$1.17

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $1.17 for this service. Most negotiated rates run $0.78 to $5.89.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1 · 10th to 90th $0 to $6

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $0.78 Median $0.78 Typical High $0.78	Professional	None	$0.78	$0.78	$0.78
Cigna Setting Professional Modifier None Typical Low $0.95 Median $5.89 Typical High $5.89	Professional	None	$0.95	$5.89	$5.89
United Setting Professional Modifier None Typical Low $0.36 Median $1.17 Typical High $1.41	Professional	None	$0.36	$1.17	$1.41

Where Vermont 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.

Vermont· 8th of 51

$1.17

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.