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Arizona rates for HCPCS G0403

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.86 / $17.46 / $23.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $14.36 / $15.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $20.87 / $173.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $19.04 / $34.43