| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $200.00 | $200.00 | $200.00 | |
Molina
| Professional | $200.00 | $200.00 | $200.00 |
NOC for enteral supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $200.00 | $200.00 | $200.00 | |
Molina
| Professional | $200.00 | $200.00 | $200.00 |