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Indiana 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
$24.89 / $565.92 / $758.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.56 / $580.37 / $822.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.28 / $708.28 / $1,133.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $1,019.47 / $1,432.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.79 / $41.33 / $1,045.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.17 / $838.39 / $1,143.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $46.61 / $46.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.99 / $759.74 / $892.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.54 / $777.46 / $1,035.34