| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.16 | $0.16 | $0.34 | |
Cigna
| Professional | $0.24 | $0.24 | $0.24 | |
United
| Professional | $0.41 | $0.55 | $0.90 |
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
| Professional | $0.16 | $0.16 | $0.34 | |
Cigna
| Professional | $0.24 | $0.24 | $0.24 | |
United
| Professional | $0.41 | $0.55 | $0.90 |