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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
$5.01 / $7.08 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.96 / $14.79
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.85 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $11.22 / $20.42