Enteral Formula, Pediatric; Nutritionally Complete Calorically Dense

B4160 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item. Estimates below are based on Medica Choice network contract rates.

Note: The estimates below are based on Medica Choice network contract rates. How were these costs calculated?


Cost Key:
Lower Cost Medium Cost Higher Cost
Facility     City/State Average Cost Range                         
  Apria Healthcare LLC Sauk Rapids, MN $1.03 - $1.28  
  Fairview Home Infusion Minneapolis, MN $1.03 - $1.28  
  Handi Medical Supply Saint Paul, MN $0.75 - $0.82  
  MedQuest Williston, ND $1.03 - $1.28  
  Pediatric Home Services Roseville, MN $2.28 - $2.42  
  Reliable Medical Supply Inc Waite Park, MN $1.03 - $1.28  
  Sanford Home Medical Equipment-Brookings - University Mall Brookings, SD $0.75 - $0.82  

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