go back

Utah rates for HCPCS 93005

Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $208.93 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $13.18 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $19.50 / $30.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $107.15 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.49 / $20.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $9.33 / $16.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.96 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $10.23 / $15.85