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Enteral Formula, Modular, Nutritionally Incomplete

Washington 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?

$0.89

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $0.89 for this service. The price depends on where it is billed: about $0.87 from a physician practice, and about $0.98 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 9 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$0.87$0.81 to $1.29
FacilityA hospital or hospital-owned outpatient department$0.98$0.89 to $1.45

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $4
$1$2$5$10$20facility $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
$0.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$0.81
Typical High
$3.89
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.51
Typical High
$2.82
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$0.78
Typical High
$0.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$0.89
Typical High
$1.07
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$1.35
Typical High
$1.82
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$0.87
Typical High
$0.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.51
Typical High
$2.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$0.78
Typical High
$0.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.74
Median
$0.91
Typical High
$0.91
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.35
Typical High
$2.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$0.78
Typical High
$1.38

Where Washington 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.

Washington· 19th of 51

$0.89

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.