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Minnesota 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 $6 · 10th–90th $3–$6310%20%10th90th$6Professionalmedian $3 · 10th–90th $1–$40%20%40%10th90th$3$1.0$5.0$20.0$100.0$500.0$2.0K

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 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.55 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.59 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.63 / $2.88
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.24 / $14.13
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $3.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $3.24 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $2.14 / $2.40