go back

Calorically Dense Pediatric Enteral Formula

Alabama rates for HCPCS B4160

Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Rates data updated October 2026.

How much rates vary

Professionalmedian $1 · 10th to 90th $0 to $1
$0.5$1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.34
Median
$0.98
Typical High
$0.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.05
Median
$0.15
Typical High
$0.15
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.03
Median
$0.10
Typical High
$0.10
BCBS Alabama
Setting
Professional
Modifier
21 + 22 · Increased work + 31 + 41
Typical Low
$0.95
Median
$0.95
Typical High
$0.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.42
Median
$0.42
Typical High
$0.51