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Washington 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
$15.64 / $19.87 / $33.29
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $32.11 / $173.12
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
$16.43 / $23.39 / $43.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.17 / $32.18 / $39.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $26.76 / $35.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $29.00 / $46.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $11.87 / $11.87