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North Dakota 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
$6.39 / $6.79 / $9.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $13.69 / $16.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $6.82 / $8.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $15.87 / $97.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $15.12 / $19.05