| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.45 | $2.45 | $2.45 | |
BCBS
| Facility | $1.51 | $1.86 | $2.19 | |
BCBS
| Professional | $0.41 | $0.48 | $0.93 | |
United
| Professional | $0.50 | $1.00 | $1.32 |
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.45 | $2.45 | $2.45 | |
BCBS
| Facility | $1.51 | $1.86 | $2.19 | |
BCBS
| Professional | $0.41 | $0.48 | $0.93 | |
United
| Professional | $0.50 | $1.00 | $1.32 |