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Kentucky 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
$5.48 / $6.46 / $10.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $10.18 / $12.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $17.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $11.70 / $17.86