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New Mexico 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
$4.76 / $7.66 / $45.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $5.64 / $13.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $7.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $6.16 / $19.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $17.04 / $22.81