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California 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
$5.43 / $8.51 / $30.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.69 / $16.61 / $42.34
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $16.48 / $35.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $8.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $9.25 / $11.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $7.64 / $17.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.38 / $97.38 / $97.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $16.17
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.29 / $28.29 / $28.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $10.32 / $24.48