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See a sample rate comparisonHCPCS B4102 Fee Schedule
HCPCS B4102 is classified under Enteral and Parenteral Therapy, in the Enteral Formulas and Additives subgroup.
Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
| Key Fact | Detail |
|---|---|
| Service Type | Enteral and Parenteral Therapy Enteral Formulas and Additives |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.74 median of the 3 states in the free preview · View Medicaid rates for B4102 |
National average reimbursement for HCPCS B4102 by major payers:
$7.66
BCBS / Anthem
$3.15
UnitedHealthcare
$5.09
Aetna
$3.03
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS B4102.
HCPCS B4102
5 of 8 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$3.34Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$3.03Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$3.03Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$2.95Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$2.95Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS B4102 vs. Other Enteral Formulas and Additives Codes
The table lists codes related to B4102. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| B4100-HCPCS | Low | Food thickener, administered orally, per ounce |
| B4102-HCPCS | Low | Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit |
| B4103-HCPCS | Low | Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS B4102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4102 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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