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Arizona 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

Facilitymedian $191 · 10th–90th $30–$1,4130%10%10th90th$191Professionalmedian $933 · 10th–90th $27–$1,2880%10%10th90th$933$20.0$100.0$500.0$2.0K$10.0K

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
$25.12 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $933.25 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $31.62 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $208.93 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $1,023.29 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $1,202.26 / $7,244.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $741.31 / $954.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $851.14 / $1,584.89