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Kentucky 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
$24.32 / $32.76 / $699.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.68 / $580.37 / $780.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.61 / $781.61 / $781.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $532.84 / $1,019.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.22 / $45.32 / $45.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.17 / $1,017.94 / $1,635.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $46.61 / $46.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.06 / $759.74 / $892.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $945.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.38 / $759.69 / $1,136.99