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Nationwide rates for HCPCS B4159

Enternal Formula For Pediatrics Nutritionally Complete Soy Based With Intact

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.06 / $1.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $3.58 / $8.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.18 / $1.38