| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.74 | $1.74 | $1.74 | |
BCBS
| Facility | $0.81 | $0.95 | $1.45 | |
BCBS
| Professional | $0.30 | $0.35 | $0.68 | |
United
| Professional | $0.28 | $0.62 | $0.85 |
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 | |
BCBS
| Facility | $0.81 | $0.95 | $1.45 | |
BCBS
| Professional | $0.30 | $0.35 | $0.68 | |
United
| Professional | $0.28 | $0.62 | $0.85 |