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Scoliosis Progression Risk Score From Saliva

Washington, DC rates for HCPCS 0004M

Estimates how likely a curve of the spine, known as scoliosis, is to get worse. It examines 53 inherited genetic markers in a saliva sample and combines them into a single risk score rather than reporting each marker separately.

Rates data updated June 2026.

Facilitymedian $135 · 10th–90th $59$4790%20%40%10th90th$135Professionalmedian $60 · 10th–90th $47$760%50%10th90th$60$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$75.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$91.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$35.48
Typical High
$74.13