go back

Utah 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
$11.31 / $16.82 / $24.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.74 / $31.42 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $20.76 / $24.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $19.72 / $28.48