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Scoliosis Progression Risk Score From Saliva

Massachusetts 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 $126 · 10th–90th $79$2450%10%20%10th90th$126Professionalmedian $79 · 10th–90th $51$980%20%40%10th90th$79$50.0$200.0$1.0K$5.0K$20.0K

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
$54.95
Median
$177.83
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$75.86
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$104.71
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$134.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$128.82
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$131.83