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Louisiana 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
$16.23 / $18.68 / $23.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.26 / $20.43 / $29.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $17.32 / $30.04