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Hawaii 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
$29.78 / $709.51 / $931.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.26 / $963.03 / $1,243.01
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $49.73 / $1,163.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.35 / $963.03 / $1,321.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.03 / $1,049.79 / $1,298.69
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.76 / $915.76 / $915.76