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Kansas 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
$24.65 / $32.86 / $747.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $566.62 / $800.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $39.90 / $1,055.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.74 / $759.74 / $759.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.53 / $709.51 / $955.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $891.35 / $5,042.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.71 / $888.84 / $1,317.17