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New York 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
$5.48 / $7.43 / $14.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $5.08 / $18.18
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.97 / $8.97 / $8.97
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
$7.54 / $9.38 / $14.67
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $7.72 / $13.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $7.77 / $19.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $10.34 / $22.32
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.65 / $13.08