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Texas rates for HCPCS G0404

Electrocardiogram Routine Ecg With 12 Leads; Tracing Only Without

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $6.14 / $10.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.47 / $5.47
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.29 / $11.31
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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $8.61 / $11.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $7.74 / $13.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $14.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $9.44 / $17.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.80 / $8.30