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Rhode Island 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
$12.36 / $16.82 / $24.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $15.68 / $19.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $17.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $20.68 / $28.77