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Massachusetts 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
$54.95 / $177.83 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $63.10 / $75.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $97.72 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $61.66 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $104.71
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $134.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $128.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $61.66 / $138.04