go back

New York 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
$11.24 / $17.32 / $23.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $11.11 / $35.02
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.71 / $20.71 / $20.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $17.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $20.46 / $31.67
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $17.88 / $30.27
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $13.95 / $13.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $17.29 / $40.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $19.30 / $40.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $15.40 / $30.27