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Nationwide rates for HCPCS B4161

Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.66 / $2.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.19 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $8.71 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.29 / $2.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.69 / $6.03