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Maine 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
$79.43 / $79.43 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $60.26 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $37.15 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $95.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $79.43 / $114.82