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Maryland 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
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $83.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $70.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $91.20 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $35.48 / $64.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81