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Virginia 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
$26.05 / $34.74 / $823.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $633.67 / $844.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $503.46 / $1,225.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $31.72 / $61.85
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.00 / $981.25 / $1,387.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.74 / $707.41 / $1,253.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $1,234.68 / $1,440.46
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.35 / $33.60 / $59.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.78 / $903.19 / $1,399.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.91 / $903.88 / $1,422.89