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Maine rates for HCPCS G0404

Electrocardiogram Routine Ecg With 12 Leads; Tracing Only Without

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $9.50 / $9.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $8.98 / $16.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $9.06 / $21.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $9.50 / $10.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $11.30 / $14.85