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Idaho 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
$31.62 / $31.62 / $750.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.02 / $697.17 / $912.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.74 / $759.74 / $759.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $750.90 / $1,167.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.51 / $70.11 / $1,651.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $1,464.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.70 / $2,448.26 / $3,803.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $98.75 / $1,303.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.85 / $1,019.87 / $1,344.65