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Pennsylvania 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
$13.13 / $16.50 / $23.17
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $14.62 / $30.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $21.57 / $40.36
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $17.46 / $28.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $33.40 / $40.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.66 / $13.96 / $16.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $19.62 / $32.90