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Montana 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
$16.23 / $17.46 / $23.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.61 / $22.61 / $22.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $20.87 / $23.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $22.65 / $35.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.52 / $27.85 / $35.20