| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.46 | $0.46 | $0.46 | |
Aetna
| Professional | $0.46 | $0.46 | $0.81 | |
Regence BlueShield
| Facility | $0.86 | $1.43 | $1.43 | |
United
| Professional | $0.50 | $1.08 | $1.25 |
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
| Facility | $0.46 | $0.46 | $0.46 | |
Aetna
| Professional | $0.46 | $0.46 | $0.81 | |
Regence BlueShield
| Facility | $0.86 | $1.43 | $1.43 | |
United
| Professional | $0.50 | $1.08 | $1.25 |