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Montana rates for HCPCS G0403

Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report

Professionalmedian $18 · 10th–90th $13–$320%10%10th90th$18$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $20.89 / $23.99
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $25.12 / $28.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $27.54 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.84 / $35.48