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Connecticut 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
$45.74 / $1,887.47 / $3,077.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $1,023.66 / $1,377.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.77 / $850.52 / $1,849.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.57 / $1,077.57 / $1,077.57
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.27 / $2,035.50 / $2,976.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.66 / $1,699.56 / $2,353.61