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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
$14.13 / $19.05 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $52.48
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.44 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $29.51 / $41.69