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Massachusetts 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
$12.78 / $18.12 / $24.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $29.04 / $173.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $20.52
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.46 / $20.72 / $37.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $32.34 / $44.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $28.89 / $173.12
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $22.14 / $22.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $27.32 / $48.59