| 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 formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or 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
| 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 |