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Scoliosis Progression Risk Score From Saliva

New York 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 $148 · 10th–90th $68$2400%20%10th90th$148Professionalmedian $55 · 10th–90th $32$980%20%10th90th$55$0.0$0.2$2.0$20.0$200.0$2.0K$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
$67.61
Median
$147.91
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$114.82
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$380.19
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$154.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$141.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$223.87
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$107.15
Univera
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$91.20
Univera
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$190.55