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West 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
$505.13 / $572.48 / $673.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.66 / $591.05 / $823.12
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.38 / $819.90 / $1,290.76