| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.74 | $1.74 | $1.74 | |
Kaiser Permanente
| Professional | $0.63 | $0.63 | $0.63 | |
United
| Professional | $0.18 | $0.81 | $1.45 |
Enteral formula, nutritionally complete 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 | $1.74 | $1.74 | $1.74 | |
Kaiser Permanente
| Professional | $0.63 | $0.63 | $0.63 | |
United
| Professional | $0.18 | $0.81 | $1.45 |