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Illinois rates for HCPCS G0403

Electrocardiogram Routine Ecg With 12 Leads; Performed As A Screening For The

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.84 / $16.82 / $24.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $30.49 / $31.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $20.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $17.51 / $59.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.07 / $17.51 / $19.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $23.33 / $35.92