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Scoliosis Progression Risk Score From Saliva

New Jersey 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 July 2026.

Facilitymedian $166 · 10th–90th $100$2,0890%20%10th90th$166Professionalmedian $63 · 10th–90th $42$790%20%40%10th90th$63$50.0$200.0$1.0K$5.0K$20.0K

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
$100.00
Median
$104.71
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$63.10
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$173.78
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$169.82
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$11,481.54
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$81.28