Enteral Formula, Pediatrics; Hydrolyzed/Amino Acids and Peptide Chain Proteins

B4161 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item.

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    
  Edgepark Medical Supplies Twinsburg, OH $2.31 - $2.38
  Handi Medical Supply Saint Paul, MN $2.31 - $2.38
Expand group Lincare Inc (3) $2.31 - $2.38  
  Pediatric Home Services Roseville, MN $7.33 - $7.79