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South Dakota 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
$36.70 / $40.19 / $40.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $43.18 / $53.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.26 / $65.25 / $230.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.86 / $55.09 / $83.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.62 / $57.22 / $73.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $63.49 / $72.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.40 / $62.80 / $64.70