| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.90 | $0.90 | $0.90 | |
BCBS
| Professional | $1.45 | $1.71 | $1.71 | |
United
| Professional | $0.47 | $1.30 | $2.74 |
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 | $0.90 | $0.90 | $0.90 | |
BCBS
| Professional | $1.45 | $1.71 | $1.71 | |
United
| Professional | $0.47 | $1.30 | $2.74 |