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South Carolina 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
$11.22 / $14.79 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $16.22 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $15.14 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $34.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $18.20 / $28.18