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Wisconsin rates for HCPCS G0403

Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report

Professionalmedian $19 · 10th–90th $13–$450%10%10th90th$19$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.91 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $46.77
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $32.36 / $43.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $32.36 / $173.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $20.42 / $43.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $35.48 / $51.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $81.28 / $173.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.18 / $57.54