| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.14 | $2.14 | $2.14 | |
Cigna
| Facility | $1.48 | $1.48 | $1.48 | |
Cigna
| Professional | $5.13 | $5.13 | $5.89 | |
United
| Professional | $0.60 | $0.85 | $1.41 |
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 | $2.14 | $2.14 | $2.14 | |
Cigna
| Facility | $1.48 | $1.48 | $1.48 | |
Cigna
| Professional | $5.13 | $5.13 | $5.89 | |
United
| Professional | $0.60 | $0.85 | $1.41 |