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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

Professionalmedian $11 · 10th–90th $6–$220%5%10%10th90th$11$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 / $6.03 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $14.79 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.76 / $8.51
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $9.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $16.98 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $15.85 / $27.54