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Washington rates for HCPCS G0404

Electrocardiogram Routine Ecg With 12 Leads; Tracing Only Without

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $9.71 / $21.66
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $14.06 / $97.38
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
$8.36 / $13.50 / $24.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $14.22 / $17.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $11.68 / $16.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $14.16 / $23.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25