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