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Utah 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 $7 · 10th–90th $4$130%10%10th90th$7$5.0$10.0$20.0$50.0

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
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.03
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$9.33
Typical High
$12.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.12
Typical High
$16.60
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.33
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.23
Typical High
$15.49