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Tennessee 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 / $6.29 / $10.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $10.23 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.38 / $97.38 / $97.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $10.30 / $17.07