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South Carolina 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
$45.71 / $45.71 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $660.69 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $912.01 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $741.31 / $1,348.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $524.81 / $954.99