| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.78 | $0.78 | $0.78 | |
Cigna
| Professional | $0.96 | $0.96 | $5.92 | |
MVP Health Care
| Professional | $0.96 | $0.96 | $0.96 | |
United
| Professional | $0.35 | $1.33 | $1.42 |
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 | $0.78 | $0.78 | $0.78 | |
Cigna
| Professional | $0.96 | $0.96 | $5.92 | |
MVP Health Care
| Professional | $0.96 | $0.96 | $0.96 | |
United
| Professional | $0.35 | $1.33 | $1.42 |