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Hawaii 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
$5.74 / $13.32 / $13.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $7.01 / $10.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $8.24 / $9.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $8.59 / $18.72