go back

Wisconsin rates for HCPCS G0403

Electrocardiogram Routine Ecg With 12 Leads; Performed As A Screening For The

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $18.76 / $27.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $26.65 / $89.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $20.48 / $46.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $32.02 / $173.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.80 / $34.06 / $48.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $81.50 / $173.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $41.91 / $41.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $29.48 / $61.13