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Scoliosis Progression Risk Score From Saliva

Iowa 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 $186 · 10th–90th $79$2290%10%10th90th$186Professionalmedian $83 · 10th–90th $48$2040%20%10th90th$83$50.0$100.0$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
$79.43
Median
$186.21
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$102.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$97.72
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$199.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43