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Kentucky 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
$14.02 / $16.82 / $21.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.96 / $18.62 / $20.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $15.18 / $42.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $20.46 / $32.45