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Alaska rates for HCPCS G2082

Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self administration, includes 2 hours post administration observation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.85 / $658.38 / $919.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.74 / $759.74 / $759.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.75 / $750.67 / $1,421.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $924.91 / $2,703.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.75 / $141.75 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.62 / $897.40 / $3,683.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.23 / $765.92 / $1,421.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.11 / $897.40 / $3,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.68 / $1,924.02 / $2,224.17