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New Jersey rates for HCPCS B4157

Enternal Formula Nutritionally Complete For Special Metabolic Needs For

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $3.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.73 / $6.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $8.16 / $8.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $13.57 / $13.57