Enteral Formula, Pediatric; Nutionally 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 Inc - Home Oxygen & Medical Equipment Duluth, MN $1.22 - $1.35
  Avera Home Medical Equipment Sioux Falls, SD $1.05 - $1.20
  Brainerd Medical Supply Inc Brainerd, MN $1.05 - $1.20
  Fairview Pharmacy Services Princeton, MN $1.05 - $1.20
  Handi Medical Supply Saint Paul, MN $1.05 - $1.20
  McKesson Medical-Surgical Medimart Inc Golden Valley, MN $1.05 - $1.20
  Pediatric Home Services - Home Medical Equipment Roseville, MN $1.65 - $1.90
  Sanford Health Accessories LLC Fargo, ND $1.05 - $1.20
  Sanford Home Medical Equipment Huron, SD $1.05 - $1.20