| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.02 | $1.02 | $1.63 | |
BCBS
| Facility | $2.50 | $2.81 | $4.09 | |
BCBS
| Professional | $0.91 | $1.30 | $2.12 | |
United
| Professional | $0.83 | $1.85 | $2.21 |
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 | $1.02 | $1.02 | $1.63 | |
BCBS
| Facility | $2.50 | $2.81 | $4.09 | |
BCBS
| Professional | $0.91 | $1.30 | $2.12 | |
United
| Professional | $0.83 | $1.85 | $2.21 |