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Tennessee 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
$12.77 / $16.69 / $23.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.13 / $22.07 / $32.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.38 / $173.12 / $173.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.07 / $20.36 / $36.50