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Pennsylvania 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
$23.85 / $33.75 / $41.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.78 / $38.17 / $61.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.93 / $33.93 / $33.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.51 / $55.49 / $76.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $33.75 / $49.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $41.18 / $66.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.93 / $33.93 / $33.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.03 / $34.31 / $37.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.63 / $39.09 / $64.25