| 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 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 | $0.30 | $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 |