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Rhode Island 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 / $8.41 / $13.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $6.95 / $8.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $7.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $10.58 / $14.98