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Minnesota 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
$74.13 / $74.13 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $302.00 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $91.20 / $104.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $288.40 / $575.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $114.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $144.54 / $239.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $64.57 / $169.82