| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.56 | $0.56 | $1.17 | |
Cigna
| Professional | $2.47 | $2.47 | $2.47 | |
United
| Professional | $1.39 | $1.86 | $3.33 |
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes 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 | $0.56 | $0.56 | $1.17 | |
Cigna
| Professional | $2.47 | $2.47 | $2.47 | |
United
| Professional | $1.39 | $1.86 | $3.33 |