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Calorically Dense Pediatric Enteral Formula

New Hampshire 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?

$0.40

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $0.40 for this service. Most negotiated rates run $0.33 to $1.12.

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.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $3Professionalmedian $0 · 10th to 90th $0 to $1
$0.5$1.0$2.0facility $0professional $0

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
$0.33
Median
$0.33
Typical High
$0.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.33
Typical High
$0.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.35
Typical High
$1.58
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$2.00
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.95
Typical High
$3.98

Where New Hampshire 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.

New Hampshire $0.40 · 22nd 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.