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Utah rates for HCPCS G0404

Electrocardiogram Routine Ecg With 12 Leads; Tracing Only Without

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $6.46 / $13.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.96 / $15.26 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $9.55 / $11.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $10.79 / $14.83