| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.36 | $0.36 | $0.54 | |
BCBS
| Facility | $0.80 | $0.94 | $1.43 | |
BCBS
| Professional | $0.32 | $0.46 | $0.75 | |
United
| Professional | $0.28 | $0.63 | $0.74 |
Enteral Formula Nutritionally Complete With Intact Nutrients Includes N Enteral Feeding Tube 100 Calories = 1 Unit (Special Coverage Instructions Apply. See Cim: 65-10 A
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.36 | $0.36 | $0.54 | |
BCBS
| Facility | $0.80 | $0.94 | $1.43 | |
BCBS
| Professional | $0.32 | $0.46 | $0.75 | |
United
| Professional | $0.28 | $0.63 | $0.74 |