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Scoliosis Progression Risk Score From Saliva

Georgia 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.

Facilitymedian $91 · 10th–90th $63$1410%20%10th90th$91Professionalmedian $32 · 10th–90th $32$740%50%90th$32$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
$63.10
Median
$112.20
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$74.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$616.60
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$102.33