Enteral Formula, Pediatric; Nutritionally Complete Calorically Dense
B4160 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item. Estimates below are based on Medica Choice network contract rates.
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 |
|---|
| Apria Healthcare LLC | Sauk Rapids, MN | $1.03 - $1.28 | |||||
| Fairview Home Infusion | Minneapolis, MN | $1.03 - $1.28 | |||||
| Handi Medical Supply | Saint Paul, MN | $0.75 - $0.82 | |||||
| MedQuest | Williston, ND | $1.03 - $1.28 | |||||
| Pediatric Home Services | Roseville, MN | $2.28 - $2.42 | |||||
| Reliable Medical Supply Inc | Waite Park, MN | $1.03 - $1.28 | |||||
| Sanford Home Medical Equipment-Brookings - University Mall | Brookings, SD | $0.75 - $0.82 | |||||
