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Scoliosis Progression Risk Score From Saliva

South Dakota 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 $89 · 10th–90th $55$1260%20%40%10th90th$89Professionalmedian $102 · 10th–90th $48$2190%20%10th90th$102$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$144.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$104.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43