| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
BCBS
| Facility | $1.35 | $1.35 | $1.35 | |
Cigna
| Professional | $0.87 | $0.87 | $0.87 |
Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
BCBS
| Facility | $1.35 | $1.35 | $1.35 | |
Cigna
| Professional | $0.87 | $0.87 | $0.87 |