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Scoliosis Progression Risk Score From Saliva

Utah 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 $380 · 10th–90th $71$5010%20%10th90th$380Professionalmedian $71 · 10th–90th $43$870%20%10th90th$71$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
$70.79
Median
$380.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$323.59
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$89.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$69.18
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$79.43