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Michigan 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
$13.84 / $17.46 / $23.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $17.51 / $17.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $22.48 / $26.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $20.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.41 / $18.76 / $24.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $20.48 / $27.86