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South Dakota 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
Facility
Modifier
Low / Median / High Price
$8.02 / $8.02 / $8.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $8.02 / $8.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $10.78 / $10.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $12.36 / $23.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $15.05 / $75.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.48 / $12.00 / $14.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $13.63 / $18.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $13.20 / $15.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $15.05 / $17.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $13.70 / $14.30