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Maine 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
$570.35 / $646.40 / $760.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.70 / $698.57 / $1,032.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $684.49 / $1,296.92
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.87 / $894.50 / $1,867.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $720.15 / $1,032.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.79 / $1,052.34 / $1,719.55