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Missouri 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
$5.83 / $7.07 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $11.85 / $17.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $11.84 / $97.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $10.85 / $18.34