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Maine rates for HCPCS G0403

Electrocardiogram Routine Ecg With 12 Leads; Performed As A Screening For The

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $18.12 / $23.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $19.36 / $37.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $20.50 / $48.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $18.66 / $23.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $23.32 / $30.01