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Connecticut 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
$40.74 / $1,122.02 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $660.69 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $602.56 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $537.03 / $1,288.25