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Texas 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

Professionalmedian $6 · 10th–90th $4–$100%20%10th90th$6$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.37 / $5.37
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $10.00 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $10.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $12.02 / $15.85
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.55 / $18.62
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.08 / $8.32