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Vermont 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
$16.23 / $18.39 / $25.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.91 / $30.55 / $52.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $52.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $17.29 / $52.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $29.36 / $64.08