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Maryland 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
Professional
Modifier
Low / Median / High Price
$26.66 / $633.67 / $844.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $31.72 / $40.60
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.88 / $1,059.75 / $1,423.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.91 / $825.15 / $1,508.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.25 / $1,132.42 / $1,258.25