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Arkansas 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
Facility
Modifier
Low / Median / High Price
$490.49 / $555.89 / $653.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $667.75 / $893.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.29 / $759.74 / $759.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.67 / $781.08 / $1,096.43