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Virginia 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
$13.13 / $16.91 / $27.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.21 / $16.89 / $25.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $15.82 / $30.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $21.56 / $33.67
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $19.61 / $36.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.96 / $21.75 / $34.59