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Calorically Dense Pediatric Enteral Formula

Nebraska 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?

$1.00

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $1.00 for this service. The price depends on where it is billed: about $1.00 from a physician practice, and about $676 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.00$0.95 to $1.00
FacilityA hospital or hospital-owned outpatient department$676$79.43 to $891

How much rates vary

Facilitymedian $676 · 10th to 90th $1 to $1,549Professionalmedian $1 · 10th to 90th $1 to $1
$1$10$100$1Kfacility $676professional $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
Facility
Modifier
None
Typical Low
$0.98
Median
$0.98
Typical High
$1.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.89
Median
$0.98
Typical High
$0.98
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$831.76
Typical High
$1,659.59
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$0.95
Median
$1.00
Typical High
$1.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.76
Median
$0.76
Typical High
$0.93
Medica
Setting
Facility
Modifier
None
Typical Low
$0.34
Median
$0.65
Typical High
$100.00
Medica
Setting
Professional
Modifier
None
Typical Low
$0.33
Median
$0.33
Typical High
$0.83
United
Setting
Professional
Modifier
None
Typical Low
$0.83
Median
$0.83
Typical High
$0.83

Where Nebraska 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.

Nebraska· 10th of 51

$1.00

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.