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Iowa 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
$173.00 / $173.00 / $173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $839.05 / $1,151.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $1,389.38 / $2,780.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.65 / $1,080.68 / $2,259.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.42 / $1,057.99 / $2,031.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $1,529.69 / $4,304.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.46 / $1,475.90 / $2,780.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.46 / $1,475.90 / $2,780.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.01 / $1,030.40 / $2,216.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.83 / $1,387.65 / $2,339.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $50.70 / $1,713.80