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West 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
$5.48 / $6.38 / $9.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $17.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $9.11 / $20.70