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Calorically Dense Pediatric Enteral Formula

Florida 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 does Calorically Dense Pediatric Enteral Formula cost?

$0.87

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $0.87 for this service. The price depends on where it is billed: about $0.87 from a physician practice, and about $0.93 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.87$0.42 to $0.87
FacilityA hospital or hospital-owned outpatient department$0.93$0.87 to $0.93

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $0 to $1
$0.5$1$2$5$10$20$50facility $1professional $1

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.32
Median
$0.87
Typical High
$0.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.32
Median
$0.87
Typical High
$0.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.05
Median
$0.13
Typical High
$0.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.03
Median
$0.09
Typical High
$0.09
Ambetter
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
AvMed
Setting
Facility
Modifier
None
Typical Low
$0.93
Median
$0.93
Typical High
$0.93
AvMed
Setting
Professional
Modifier
None
Typical Low
$0.93
Median
$0.93
Typical High
$0.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.42
Median
$0.42
Typical High
$0.42
United
Setting
Professional
Modifier
None
Typical Low
$0.93
Median
$0.93
Typical High
$0.93
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$0.87
Median
$0.87
Typical High
$0.87

Where Florida sits

The same service costs 239.9 times more in Montana than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 25th of 51

$0.87

MT $79.43UT $0.33

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.