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Kansas 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
$24.65 / $32.86 / $1,061.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $804.28 / $1,136.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $39.90 / $1,542.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.57 / $1,077.57 / $1,077.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.53 / $1,036.02 / $1,361.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $1,302.26 / $7,170.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.78 / $1,294.46 / $1,814.97