| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
BCBS
| Professional | $1.70 | $2.00 | $2.00 | |
United
| Facility | $1.02 | $1.02 | $1.32 | |
United
| Professional | $0.71 | $2.00 | $4.57 |
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
BCBS
| Professional | $1.70 | $2.00 | $2.00 | |
United
| Facility | $1.02 | $1.02 | $1.32 | |
United
| Professional | $0.71 | $2.00 | $4.57 |