go back

Georgia rates for HCPCS B4157

Enternal Formula Nutritionally Complete For Special Metabolic Needs For

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.49 / $2.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $4.04 / $7.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $8.16 / $8.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.28 / $98.34