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Enteral Formula, Inherited Disease of Metabolism

Wyoming rates for HCPCS B4157

Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Rates data updated July 2026.

Professionalmedian $5 · 10th–90th $4$50%50%10th$5$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$0.72
Typical High
$0.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.90
Typical High
$4.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13