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Maryland 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
$11.94 / $16.39 / $23.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $16.61 / $26.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.96 / $20.65 / $33.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $17.04 / $21.12