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Scoliosis Progression Risk Score From Saliva

Texas 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 $100 · 10th–90th $52$3630%10%10th90th$100Professionalmedian $59 · 10th–90th $43$890%10%10th90th$59$10.0$20.0$50.0$100.0$200.0$500.0

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
$51.29
Median
$114.82
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$43.65
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$177.83
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$87.10
Typical High
$104.71
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$588.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$147.91
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$97.72
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$177.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$229.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$56.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$79.43