HCPCS B4152

Enteral formula, nutritionally complete, calorically dense

HCPCS B4152 is a dme, prosthetics, orthotics and supplies code that no 2026 Medicare fee schedule prices. Commercial payers may still reimburse it.

Medicare rate by state

Medicare rates for this code are not published on a 2026 Medicare fee schedule.

Understanding this rate

A Medicare rate is not one number — it is several, combined. Here is what each part of the HCPCS B4152 rate above actually means.

Why isn't this code priced?

Not every billing code has a national Medicare rate. Some are priced locally by each Medicare contractor, some are paid at a state Medicaid rate, and some are reimbursed only by commercial payers.

Who actually pays for it, then

Commercial payers negotiate their own rate for codes Medicare doesn't price, independent of any federal fee schedule. See what payers negotiate for B4152.

This page reflects the 2026-01-01 CMS fee schedules. Want the full story behind why this data is public at all — the rules, the deadlines, the penalties? Read the price transparency law guide.

Data sources

See what other providers in your market negotiated for B4152

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.