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Tennessee 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
$1,229.81 / $1,229.81 / $1,229.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.03 / $670.21 / $889.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $473.77 / $1,139.41
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.48 / $177.48 / $177.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $1,093.23 / $7,212.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.16 / $784.57 / $1,354.80