Enteral Formula, Nutritionally Complete, Intact Nutrients

B4150 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    
Expand group Allina Home Oxygen & Medical Equipment (2) $0.98 - $1.14  
  Apria Healthcare LLC Rochester, MN $3.01 - $3.20
Expand group Corner Medical LLC (2) $0.68 - $0.73  
  McKesson Medical-Surgical Medimart Inc Golden Valley, MN $0.68 - $0.73
  Partner Medical Sioux Falls, SD $0.68 - $0.73
  Pediatric Home Services Roseville, MN $0.98 - $1.14
  Sanford Home Medical Equipment-Brookings Brookings, SD $0.68 - $0.73