78350 Medicaid Rate by State

Bone density by single photon absorptiometry (retired)

36 state Medicaid programs publish a fee-for-service rate for 78350 (bone density by single photon absorptiometry (retired)), ranging from $20.45 in Washington to $165.63 in Alabama.

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This page shows one representative rate per state for 78350. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

36

Median % of Medicare

--

Rate range

$20.45 - $165.63

78350 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alaska$51.53----2026
Alabama$165.63----2026
Arkansas$46.62----2026
Arizona$32.77----2025
Connecticut$24.99----2016
District of Columbia$30.43--Not required2026
Delaware$32.08----2026
Georgia$35.89----2026
Hawaii$21.14----2025
Iowa$31.75----2024
Illinois$121.14----2026
Indiana$29.26----2025
Kansas$52.40----1995
Kentucky$30.15----2026
Massachusetts$24.80----2025
Maine$22.28----2026
Michigan$21.09----2026
Minnesota$25.47----2026
Missouri$103.02--Not required2019
Mississippi$26.24----2026
New Hampshire$27.38--Not required2026
New Mexico$40.45----2023
Nevada$36.10----2024
New York$28.08----2026
Ohio$29.38----2018
Oklahoma$28.25----2026
Rhode Island$62.33----2026
South Carolina$22.83----2024
Texas$25.66*----2026
Utah$30.82*--Not required2026
Virginia$28.65----2026
Vermont$27.74----2026
Washington$20.45----2026
Wisconsin$41.43----2008
West Virginia$21.96----2026
Wyoming$24.40----2026

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related lab & imaging codes

Frequently asked questions

How much does Medicaid pay for 78350?

36 state Medicaid programs publish a fee-for-service rate for 78350 (bone density by single photon absorptiometry (retired)), ranging from $20.45 in Washington to $165.63 in Alabama. The full table on this page lists every publishing state's current rate.

Which state pays the most for 78350?

Alabama publishes the highest Medicaid rate for 78350 at $165.63. Washington publishes the lowest at $20.45.

Does 78350 require prior authorization under Medicaid?

No publishing state flags 78350 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.