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Arizona 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
$22.34 / $29.78 / $724.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.31 / $667.75 / $890.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.86 / $22.86 / $110.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $192.16 / $777.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $46.61 / $46.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.74 / $759.74 / $759.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.76 / $702.75 / $1,208.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.54 / $784.52 / $2,681.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.54 / $778.85 / $1,457.00