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Oklahoma 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
$3.98 / $6.46 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.41 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $8.71 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.71 / $18.20