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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

Professionalmedian $9 · 10th–90th $6–$210%10%10th90th$9$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $18.62
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $16.60 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $10.23
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.23 / $16.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $13.18 / $20.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $16.60 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $14.79 / $22.91