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See a sample rate comparisonHCPCS B4149 Fee Schedule
HCPCS B4149 is classified under Enteral and Parenteral Therapy, in the Enteral Formulas and Additives subgroup.
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
| Key Fact | Detail |
|---|---|
| Service Type | Enteral and Parenteral Therapy Enteral Formulas and Additives |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.415 median of the 8 states in the free preview · View Medicaid rates for B4149 |
National average reimbursement for HCPCS B4149 by major payers:
$1.22
BCBS / Anthem
$1.48
UnitedHealthcare
$1.26
Aetna
$1.61
Cigna
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HCPCS B4149
5 of 25 sample ratesHigher to lower in this preview
Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$3.83Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$2.60Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$2.14Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$1.29Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$0.46Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS B4149 vs. Other Enteral Formulas and Additives Codes
The table lists codes related to B4149. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| B4105-HCPCS | Low | In-line cartridge containing digestive enzyme(s) for enteral feeding, each |
| B4149-HCPCS | Low | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
| B4150-HCPCS | Low | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 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 B4149. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4149 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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