go back

Louisiana 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
$83.18 / $114.82 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $141.25 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $87.10 / $97.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $602.56
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 / $39.81 / $109.65