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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

Facilitymedian $2 · 10th–90th $1$150%20%10th90th$2Professionalmedian $1 · 10th–90th $1$30%50%90th$1$0.0$0.5$10.0$200.0$5.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.66 / $2.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.24 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.59 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.24 / $2.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.04 / $2.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.82 / $5.50