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Scoliosis Progression Risk Score From Saliva

Delaware 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 July 2026.

How much rates vary

Facilitymedian $91 · 10th to 90th $91 to $91Professionalmedian $42 · 10th to 90th $42 to $66
$50$100facility $91professional $42

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$117.49