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Oklahoma 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
$58.88 / $79.43 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $104.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $79.43 / $138.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $52.48