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Massachusetts 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
$5.43 / $8.41 / $13.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $17.32 / $97.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $10.27
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $9.34 / $16.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $14.37 / $21.35
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $17.30 / $97.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $14.93 / $25.45