| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.27 | $0.27 | $0.27 | |
Aetna
| Professional | $0.27 | $0.27 | $0.38 | |
Regence BlueShield
| Facility | $0.43 | $0.47 | $0.61 | |
United
| Professional | $0.22 | $0.53 | $0.72 |
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
| Facility | $0.27 | $0.27 | $0.27 | |
Aetna
| Professional | $0.27 | $0.27 | $0.38 | |
Regence BlueShield
| Facility | $0.43 | $0.47 | $0.61 | |
United
| Professional | $0.22 | $0.53 | $0.72 |