| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
Ambetter
| Professional | $1.82 | $1.82 | $2.57 | |
BCBS
| Professional | $2.63 | $2.63 | $2.63 | |
Cigna
| Professional | $1.74 | $1.74 | $9.33 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, 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 | $2.00 | |
Ambetter
| Professional | $1.82 | $1.82 | $2.57 | |
BCBS
| Professional | $2.63 | $2.63 | $2.63 | |
Cigna
| Professional | $1.74 | $1.74 | $9.33 |