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Rhode Island 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
$597.28 / $676.91 / $4,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.78 / $727.13 / $969.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.54 / $1,909.54 / $2,663.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.19 / $176.78 / $1,299.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.74 / $759.74 / $759.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.73 / $926.09 / $1,393.65