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New Jersey 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
$100.00 / $104.71 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $63.10 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $173.78 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $102.33 / $169.82
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $10,715.19 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $47.86 / $83.18