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Pennsylvania 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
$550.66 / $717.11 / $1,007.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $667.75 / $893.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.20 / $843.89 / $1,369.88
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.06 / $76.06 / $76.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.59 / $1,298.31 / $1,711.87
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $900.44 / $932.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.66 / $717.11 / $1,007.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $697.56 / $994.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.46 / $869.20 / $1,738.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $46.61 / $46.61
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.74 / $759.74 / $759.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.65 / $777.40 / $784.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $760.86 / $853.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.44 / $828.15 / $1,345.93