go back

Montana rates for HCPCS G0130

Single Energy X-Ray Absorptiometry (Sexa) Bone Density Study One Or More Sites; Appendicular Skeleton (Peripheral) (Eg Radius Wrist Heel) (Special Coverage Instructions Apply. See Cim: 50-44)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.01 / $36.00 / $188.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.93 / $56.46 / $58.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.51 / $57.84 / $89.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.42 / $26.08 / $62.75