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Wisconsin rates for HCPCS G0404

Electrocardiogram Routine Ecg With 12 Leads; Tracing Only Without

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $7.99 / $13.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $11.80 / $40.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $8.57 / $20.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $16.84 / $97.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $58.40 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $15.05 / $21.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $39.95 / $97.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $18.12 / $18.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $16.05 / $29.96