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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
$28.18 / $660.69 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $758.58 / $1,174.90
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $50.12 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $1,071.52 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $616.60 / $1,122.02