| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.37 | $29.24 | $52.29 |
BCBS
| Facility | 26 | $26.07 | $26.07 | $26.07 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $26.26 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.37 | $29.24 | $52.29 |
BCBS
| Facility | 26 | $26.07 | $26.07 | $26.07 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $26.26 |
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