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Wyoming 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
$6.17 / $6.17 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $11.00 / $11.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $11.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $16.19 / $32.99