| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.34 | $154.34 | $154.34 | |
BCBS
| Professional | $114.00 | $114.00 | $114.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.34 | $154.34 | $154.34 | |
BCBS
| Professional | $114.00 | $114.00 | $114.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |