| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.30 | $0.30 | $0.44 | |
BCBS
| Facility | $0.69 | $0.79 | $1.17 | |
BCBS
| Professional | $0.27 | $0.38 | $0.62 | |
United
| Professional | $0.23 | $0.53 | $0.62 |
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 | $0.30 | $0.30 | $0.44 | |
BCBS
| Facility | $0.69 | $0.79 | $1.17 | |
BCBS
| Professional | $0.27 | $0.38 | $0.62 | |
United
| Professional | $0.23 | $0.53 | $0.62 |