| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.51 | $0.51 | $0.90 | |
BCBS
| Facility | $1.48 | $1.78 | $2.18 | |
BCBS
| Professional | $0.45 | $0.64 | $1.04 | |
United
| Professional | $0.50 | $1.00 | $1.33 |
Enteral Formula Nutritionally Incomplete/Modular Nutients Includes Specific Calories = 1 Unit (Special Coverage Instructions A
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.51 | $0.51 | $0.90 | |
BCBS
| Facility | $1.48 | $1.78 | $2.18 | |
BCBS
| Professional | $0.45 | $0.64 | $1.04 | |
United
| Professional | $0.50 | $1.00 | $1.33 |