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Georgia 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
$1,018.43 / $1,141.17 / $1,141.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $1,018.43 / $1,302.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.91 / $1,554.91 / $1,554.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.16 / $778.08 / $1,816.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.90 / $1,087.90 / $1,087.90
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 / $1,403.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $1,037.43 / $2,063.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $933.69 / $2,061.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.33 / $1,335.15 / $2,263.19