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Wisconsin 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 $9 · 10th–90th $5–$240%10%20%10th90th$9$0.1$0.5$2.0$10.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $11.75 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.51 / $20.42
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.45 / $19.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $16.98 / $97.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.59 / $23.99
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $16.22 / $22.91
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $39.81 / $97.72
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.85 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $14.79 / $28.18