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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
$12.02 / $15.85 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $32.36 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $18.20 / $20.42
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $21.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $33.11 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $31.62 / $57.54