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Virginia 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
$5.43 / $7.43 / $9.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.47 / $11.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $7.32 / $15.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $9.48 / $18.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $8.55 / $19.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $11.54 / $18.95