go back

Montana rates for HCPCS G0130

Single energy x-ray absorptiometry (SEXA) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)

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