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Illinois 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
$81.28 / $138.04 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $64.57 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $107.15 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $147.91 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $87.10 / $104.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $109.65 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $79.43