go back

New Mexico 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
$13.35 / $17.46 / $24.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.93 / $13.24 / $26.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $17.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $16.43 / $46.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.20 / $27.84 / $37.70