| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $59.61 | $59.61 | $59.61 |
Hally Health
| Professional | 26 | $67.00 | $67.00 | $81.04 |
Regence BlueShield
| Facility | 26 | $346.39 | $346.39 | $346.39 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $59.61 | $59.61 | $59.61 |
Hally Health
| Professional | 26 | $67.00 | $67.00 | $81.04 |
Regence BlueShield
| Facility | 26 | $346.39 | $346.39 | $346.39 |