| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $154.34 | $154.34 | $154.34 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $154.34 | $154.34 | $154.34 |