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Indiana 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
$13.84 / $16.82 / $21.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.21 / $16.21 / $16.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $19.36 / $26.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $27.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $18.75 / $29.53