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Idaho 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
$141.25 / $141.25 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $63.10 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $147.91 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $95.50 / $154.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $83.18 / $102.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $154.88 / $281.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $83.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $79.43