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Arizona 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
$60.26 / $158.49 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $61.66 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $275.42 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $61.66 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $79.43 / $141.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $47.86