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Connecticut 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 / $7.19 / $10.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $14.06 / $23.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $7.16
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $10.77 / $18.70
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $13.48 / $23.95