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Idaho 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
$4.99 / $5.44 / $13.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $10.15 / $12.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $30.00 / $55.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $9.44 / $9.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $13.02 / $19.00