BACK

Enteral Formula, Nutritionally Complete, Calorically Dense

B4152 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    
  ActivStyle Inc Minneapolis, MN $0.58 - $0.61
Expand group Allina Community Pharmacies (15) $0.61 - $0.75  
Expand group Allina Home Oxygen & Medical Equipment (10) $0.61 - $0.75  
Expand group Apria Healthcare Inc - Home Oxygen & Medical Equipment (22) $0.58 - $0.61  
  Aspen Medical Group - Musculoskeletal Center Saint Paul, MN $0.61 - $0.75
Expand group Edgepark Medical Supplies (5) $0.58 - $0.61  
  Essentia Health Medical Equipment & Supplies Duluth, MN $0.58 - $0.61
Expand group Fairview Pharmacy Services (38) $0.58 - $0.61  
  Handi Medical Supply Saint Paul, MN $0.58 - $0.61
  Handi Medical Supply Saint Paul, MN $0.58 - $0.61
  Key Medical Supply Inc Shoreview, MN $0.58 - $0.61
Expand group Lincare Inc (34) $0.58 - $0.61  
Expand group MeritCare HealthCare Accessories LLC (14) $0.58 - $0.61  
Expand group Merwin Home Medical (3) $0.58 - $0.61  
  Midwest Medical Services Mounds View, MN $0.58 - $0.61
  North Central Medical Supply Inc Brainerd, MN $0.54 - $0.55
  Option Care Sauk Rapids, MN $0.58 - $0.61
  Option Care Enterprises Inc Roseville, MN $0.58 - $0.61
  Pediatric Home Services - Home Medical Equipment Roseville, MN $0.54 - $0.55
  Sanford Healthcare Accessories LLC Fargo, ND $0.58 - $0.61
  Sanford Healthcare Accessories LLC Fargo, ND $0.58 - $0.61
Expand group Sanford Home Medical Equipment (36) $0.58 - $0.61  
Expand group Sports and Orthopaedic Specialists (4) $0.61 - $0.75