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Iowa rates for HCPCS B4159

Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.41 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.66 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $1.05 / $1.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.21 / $1.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.20 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00