Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) 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
| Facility | $0.35 | $0.38 | $0.41 | |
Aetna
| Professional | $0.27 | $0.38 | $0.44 | |
BCBS
| Facility | $0.38 | $0.40 | $0.64 | |
BCBS
| Professional | $0.33 | $0.34 | $0.52 | |
Cigna
| Facility | $0.69 | $0.69 | $0.69 | |
Cigna
| Professional | $0.24 | $0.24 | $0.24 | |
United
| Professional | $0.22 | $0.50 | $0.84 |
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