| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $199.53 | $199.53 | $199.53 | |
Molina
| Professional | $199.53 | $199.53 | $199.53 | |
Providence
| Professional | $426.58 | $426.58 | $426.58 |
NOC for enteral supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $199.53 | $199.53 | $199.53 | |
Molina
| Professional | $199.53 | $199.53 | $199.53 | |
Providence
| Professional | $426.58 | $426.58 | $426.58 |