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Oregon 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
Professional
Modifier
Low / Median / High Price
$1.12 / $2.68 / $2.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $3.56 / $5.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.29 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $3.56 / $7.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.99 / $3.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00