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Scoliosis Progression Risk Score From Saliva

Michigan 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 $76 · 10th–90th $76$1380%50%90th$76Professionalmedian $65 · 10th–90th $48$930%20%10th90th$65$20.0$50.0$100.0$200.0

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
$75.86
Median
$75.86
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$91.20
Typical High
$177.83
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$190.55
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$107.15
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$79.43