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California 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
$13.96 / $17.46 / $27.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $12.44 / $13.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $26.67 / $56.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $24.14 / $56.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $20.48
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $19.02 / $23.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.22 / $34.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.54 / $173.12 / $173.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $37.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.73 / $55.73 / $55.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $19.67 / $49.95