Enteral Formula, Pediatrics; Hydrolyzed/Amino Acids and Peptide Chain Proteins

B4161 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                         
  Sanford HealthCare Accessories Fargo, ND $2.30 - $2.99  
  Pediatric Home Services Roseville, MN $7.96 - $8.45  
  MCHS Pharmacy and Home Med Long Term Care Eau Claire, WI $2.30 - $2.99  
Expand group Lincare Inc (2) $2.30 - $2.99
  Handi Medical Supply Saint Paul, MN $2.30 - $2.99  
  Fairview Home Infusion Minneapolis, MN $2.30 - $2.99  
  Edgepark Medical Supplies Twinsburg, OH $2.30 - $2.99  
  Byram Healthcare Centers Inc Downers Grove, IL $2.30 - $2.99  
  Avera Home Med Eqt Spencer Hosp Spencer, IA $2.30 - $2.99  

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