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Washington, DC 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
Professional
Modifier
Low / Median / High Price
$24.62 / $900.89 / $1,201.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $31.72 / $42.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $1,077.57 / $1,472.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.08 / $1,532.34 / $2,929.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.10 / $1,211.19 / $2,937.62