| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $514.00 | $514.00 | $514.00 | |
Providence
| Facility | $128.62 | $128.62 | $128.62 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $514.00 | $514.00 | $514.00 | |
Providence
| Facility | $128.62 | $128.62 | $128.62 |