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Arizona rates for HCPCS G0404

Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $7.29 / $45.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $6.33 / $6.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $12.14 / $97.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $10.23 / $18.54