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Vermont 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
$8.41 / $10.68 / $45.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $13.70 / $15.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $22.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $7.77 / $22.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $19.02 / $28.22