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Scoliosis Progression Risk Score From Saliva

Wisconsin 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 $219 · 10th–90th $93$3890%10%20%10th90th$219Professionalmedian $71 · 10th–90th $32$2340%5%10%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
$93.33
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$245.47
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$331.13
Typical High
$501.19
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$64.57
Typical High
$79.43
Network Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$223.87
Network Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$186.21
Quartz
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$263.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$371.54
Typical High
$371.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$398.11
Typical High
$398.11
Security Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Security Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$426.58
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$120.23