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Minnesota 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
$14.41 / $16.91 / $23.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $30.93 / $48.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $18.92 / $20.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $16.13 / $17.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $33.58 / $63.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $34.64 / $61.14