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Scoliosis Progression Risk Score From Saliva

Florida 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 $191 · 10th–90th $56$4270%10%10th90th$191Professionalmedian $62 · 10th–90th $45$890%10%20%10th90th$62$10.0$20.0$50.0$100.0$200.0$500.0

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
$56.23
Median
$213.80
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$89.13
AvMed
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
AvMed
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$58.88
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$380.19
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$67.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$22.39
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$33.11
Typical High
$104.71
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$79.43