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Montana rates for HCPCS G0405

Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.37 / $14.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $12.62 / $12.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $14.91 / $49.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $11.64 / $12.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.21 / $12.62 / $25.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $12.62 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $14.16 / $16.25