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Utah 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

Facilitymedian $617 · 10th–90th $537–$7240%20%10th90th$617Professionalmedian $661 · 10th–90th $29–$9120%10%10th90th$661$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $616.60 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $660.69 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $69.18 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $851.14 / $1,000.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $1,000.00 / $1,621.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $562.34 / $1,174.90