| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.62 | $93.67 | $180.79 |
Kaiser Permanente
| Professional | 26 | $23.22 | $26.88 | $50.33 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.62 | $93.67 | $180.79 |
Kaiser Permanente
| Professional | 26 | $23.22 | $26.88 | $50.33 |