The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 78351. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
29
Median % of Medicare
--
Rate range
$7.26 - $154.53
78351 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $27.39 | -- | -- | 2026 |
| Alabama | $51.90 | -- | -- | 2026 |
| Arkansas | $47.44 | -- | -- | 2026 |
| Connecticut | $46.36 | -- | -- | 2016 |
| District of Columbia | $10.65 | -- | Not required | 2026 |
| Delaware | $12.07 | -- | -- | 2026 |
| Georgia | $75.85 | -- | -- | 2026 |
| Hawaii | $8.97 | -- | -- | 2025 |
| Iowa | $21.60 | -- | -- | 2024 |
| Illinois | $145.46 | -- | -- | 2026 |
| Indiana | $13.76 | -- | -- | 2025 |
| Kansas | $125.00 | -- | -- | 1987 |
| Kentucky | $14.39 | -- | -- | 2026 |
| Massachusetts | $10.96 | -- | -- | 2025 |
| Maine | $8.65 | -- | -- | 2026 |
| Minnesota | $9.00 | -- | -- | 2026 |
| Missouri | $154.53 | -- | Not required | 2019 |
| Mississippi | $13.28 | -- | -- | 2026 |
| New Hampshire | $32.85 | -- | Not required | 2026 |
| New Mexico | $91.18 | -- | -- | 2023 |
| Nevada | $16.46 | -- | -- | 2024 |
| New York | $10.69 | -- | -- | 2026 |
| Oklahoma | $11.25 | -- | -- | 2026 |
| Utah | $11.91* | -- | Not required | 2026 |
| Virginia | $10.71 | -- | -- | 2026 |
| Washington | $7.26 | -- | -- | 2026 |
| Wisconsin | $134.05 | -- | -- | 2008 |
| West Virginia | $8.78 | -- | -- | 2026 |
| Wyoming | $10.03 | -- | -- | 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
- 70030 - X-ray of the eye for a foreign body
- 70100 - Jaw (mandible) X-ray, up to 3 views
- 70110 - Jaw (mandible) X-ray, 4 or more views
- 70120 - X-ray of the mastoids, under 3 views per side
- 70130 - X-ray of the mastoids, complete
- 70134 - X-ray of the inner ear canals, complete
- 70140 - Facial bone X-ray, under 3 views
- 70150 - Facial bone X-ray, complete, 3 or more views
Frequently asked questions
How much does Medicaid pay for 78351?
29 state Medicaid programs publish a fee-for-service rate for 78351 (bone density by dual photon absorptiometry (retired code)), ranging from $7.26 in Washington to $154.53 in Missouri. The full table on this page lists every publishing state's current rate.
Which state pays the most for 78351?
Missouri publishes the highest Medicaid rate for 78351 at $154.53. Washington publishes the lowest at $7.26.
Does 78351 require prior authorization under Medicaid?
No publishing state flags 78351 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.