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Texas 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
$9.40 / $15.64 / $21.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $13.44 / $14.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.53 / $12.38 / $12.38
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $15.46 / $28.59
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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $19.47 / $27.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.90 / $17.39 / $28.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $31.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $18.86 / $31.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $13.44 / $18.82