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Scoliosis Progression Risk Score From Saliva

Montana 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 $117 · 10th–90th $79$2400%10%20%10th90th$117Professionalmedian $74 · 10th–90th $47$1170%20%10th90th$74$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
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$239.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$239.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$173.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$79.43