| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.65 | $0.65 | $0.94 | |
BCBS
| Facility | $1.41 | $1.60 | $2.57 | |
BCBS
| Professional | $0.57 | $0.83 | $1.35 | |
United
| Professional | $0.49 | $1.12 | $1.55 |
Enteral Formulae Nutritionally Complete For Special Metabolic Needs Excludes Nteral Feeding Tube 100 Calories = 1 Unit (Special Coverage Instructions Apply. See Cim: 65-10 And
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.65 | $0.65 | $0.94 | |
BCBS
| Facility | $1.41 | $1.60 | $2.57 | |
BCBS
| Professional | $0.57 | $0.83 | $1.35 | |
United
| Professional | $0.49 | $1.12 | $1.55 |