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Alaska rates for HCPCS 0004M

Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $616.60 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $74.13 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $562.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $234.42 / $257.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $295.12 / $316.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $218.78 / $380.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $158.49 / $239.88