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Wyoming 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
$33.29 / $33.89 / $868.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.81 / $667.76 / $890.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $63.00 / $1,536.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $759.74 / $852.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.21 / $1,220.91 / $2,081.55