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New Jersey 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
$5.43 / $7.43 / $14.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $9.88 / $18.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $17.80 / $21.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $11.46 / $20.58