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Calorically Dense Pediatric Enteral Formula

North Dakota 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 July 2026.

How much does Calorically Dense Pediatric Enteral Formula cost?

$1.51

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1.51 for this service. Most negotiated rates run $0.89 to $1.66.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $2 · 10th to 90th $1 to $2
$0.5$1.0$2.0facility $1professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.34
Median
$0.89
Typical High
$0.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.89
Typical High
$0.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.55
Typical High
$1.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$0.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$0.89
Typical High
$2.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.59
United
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$1.07

Where North Dakota sits

The same service costs 4.6 times more in North Dakota than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Dakota $1.51 · 1st of 51
ND $1.51RI $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.