| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $78.00 | $78.00 | $78.00 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $78.00 | $78.00 | $78.00 |