| 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 Ough An Enteral Feeding Tube 100 Calories = 1 Unit (Special Coverage Instructions Apply. See Cim: 6
| 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 |