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Tennessee 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 / $63.10 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $162.18 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $588.84
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 / $47.86 / $79.43