| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.76 | $0.76 | $0.76 | |
Aetna
| Professional | $0.76 | $0.76 | $1.22 | |
Regence BlueShield
| Facility | $1.72 | $1.90 | $1.91 | |
United
| Professional | $0.71 | $1.65 | $2.00 |
Enteral Formula Manufactured Blendarized Natural Foods With Intact Nutrients Includes Proteins Fats Carbohydrates Vitamins And Minerals May Include Fiber Administered Through An Enteralfeeding Tube 100 Calories=1 Unit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.76 | $0.76 | $0.76 | |
Aetna
| Professional | $0.76 | $0.76 | $1.22 | |
Regence BlueShield
| Facility | $1.72 | $1.90 | $1.91 | |
United
| Professional | $0.71 | $1.65 | $2.00 |