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Scoliosis Progression Risk Score From Saliva

Indiana 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 $91 · 10th–90th $79$2630%20%40%10th90th$91Professionalmedian $63 · 10th–90th $32$760%20%10th90th$63$20.0$50.0$100.0$200.0$500.0$1.0K

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
$123.03
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$75.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$63.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$1,148.15
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$87.10
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$87.10