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Nebraska 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
$56.23 / $208.93 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $60.26 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $295.12 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $123.03 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $117.49 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $47.86 / $79.43