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Scoliosis Progression Risk Score From Saliva

Kentucky 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 $110 · 10th–90th $65$1,5850%10%20%10th90th$110Professionalmedian $59 · 10th–90th $32$760%20%10th90th$59$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$61.66
Median
$79.43
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$31.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$1,148.15
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$125.89
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$380.19
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$79.43