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Nationwide rates for HCPCS G2083

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 greater than 56 mg esketamine nasal self administration, includes 2 hours post administration observation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.52 / $834.33 / $1,169.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $976.84 / $1,302.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.84 / $39.84 / $39.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $850.52 / $1,839.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $46.61 / $46.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.57 / $1,077.57 / $1,077.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.33 / $1,282.39 / $2,122.44