| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.32 | $0.32 | $0.32 | |
Aetna
| Professional | $0.32 | $0.32 | $0.47 | |
Regence BlueShield
| Facility | $0.43 | $0.47 | $0.64 | |
United
| Professional | $0.26 | $0.46 | $0.86 |
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
| Facility | $0.32 | $0.32 | $0.32 | |
Aetna
| Professional | $0.32 | $0.32 | $0.47 | |
Regence BlueShield
| Facility | $0.43 | $0.47 | $0.64 | |
United
| Professional | $0.26 | $0.46 | $0.86 |