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Indiana 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
$5.83 / $6.91 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $12.35 / $16.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $16.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $9.43 / $16.13