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Louisiana 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
$670.21 / $670.21 / $670.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.13 / $670.21 / $890.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.61 / $781.61 / $781.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.94 / $971.94 / $971.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.94 / $971.94 / $991.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $46.61 / $46.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.74 / $759.74 / $759.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.66 / $782.48 / $1,181.25