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Louisiana 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 / $9.28 / $11.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.58 / $13.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $8.84 / $15.38