| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.55 | $0.55 | $0.55 | |
Cigna
| Professional | $0.33 | $0.33 | $0.48 | |
MVP Health Care
| Professional | $0.48 | $0.48 | $0.48 | |
United
| Professional | $0.19 | $0.94 | $1.00 |
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 | $0.55 | $0.55 | $0.55 | |
Cigna
| Professional | $0.33 | $0.33 | $0.48 | |
MVP Health Care
| Professional | $0.48 | $0.48 | $0.48 | |
United
| Professional | $0.19 | $0.94 | $1.00 |