go back

Missouri 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
$26.26 / $52.52 / $800.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.34 / $607.86 / $826.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.08 / $538.51 / $917.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.74 / $759.74 / $759.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $697.56 / $1,509.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $838.91 / $5,042.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.17 / $852.66 / $1,252.61