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Wisconsin 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
$31.14 / $36.00 / $43.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $69.81 / $216.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.93 / $128.59 / $146.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.22 / $27.22 / $27.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $88.08 / $230.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $33.09 / $70.00
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.22 / $27.22 / $27.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.15 / $90.29 / $150.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.93 / $169.30 / $230.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $205.01 / $229.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $81.36 / $167.50