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Minnesota 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
$6.38 / $7.07 / $11.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $13.67 / $21.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $7.92 / $8.57
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $6.75 / $7.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $16.97 / $31.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $16.97 / $31.22