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Minnesota rates for HCPCS B4160

Enternal Formula For Pediatrics Nutritionally Complete Calorically Dense

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.54 / $1,061.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.62 / $1.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $2.39 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.88 / $0.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $2.18 / $4.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.07 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70