| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.37 | $0.59 | $0.59 | |
Aetna
| Professional | $0.59 | $0.59 | $0.82 | |
Regence BlueShield
| Facility | $0.86 | $0.96 | $1.27 | |
United
| Professional | $0.45 | $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
| Facility | $0.37 | $0.59 | $0.59 | |
Aetna
| Professional | $0.59 | $0.59 | $0.82 | |
Regence BlueShield
| Facility | $0.86 | $0.96 | $1.27 | |
United
| Professional | $0.45 | $1.12 | $1.55 |