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Washington, DC 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
$58.88 / $58.88 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $63.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $134.90 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $138.04 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $35.48 / $97.72