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Delaware 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
$27.90 / $992.09 / $1,302.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.57 / $1,077.57 / $1,077.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.56 / $1,383.56 / $1,383.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.54 / $1,213.16 / $2,209.67