go back

South Dakota rates for HCPCS G0403

Electrocardiogram Routine Ecg With 12 Leads; Performed As A Screening For The

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $18.12 / $19.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $20.16 / $20.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $30.11 / $173.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.78 / $25.80 / $35.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $24.40 / $28.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $30.11 / $39.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $24.60 / $25.60