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See a sample rate comparisonHCPCS B4150 Fee Schedule
HCPCS B4150 is classified under Enteral and Parenteral Therapy, in the Enteral Formulas and Additives subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Enteral and Parenteral Therapy Enteral Formulas and Additives |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.605 median of the 8 states in the free preview · View Medicaid rates for B4150 |
National average reimbursement for HCPCS B4150 by major payers:
$1.95
BCBS / Anthem
$0.63
UnitedHealthcare
$0.51
Aetna
$0.47
Cigna
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HCPCS B4150
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$1.24Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$0.78Published ratePaulding Medical Center, Inc., Wellstar Paulding Hospital
Paulding Medical Center Inc
$0.67Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$0.46Published rateChristopher Raio
Mercy Medical Center
$0.16Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS B4150 vs. Other Enteral Formulas and Additives Codes
The table lists codes related to B4150. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| B4152-HCPCS | Low | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) 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 B4150. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4150 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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