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Kentucky 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
$24.32 / $32.76 / $992.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.68 / $829.67 / $1,126.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.07 / $1,108.07 / $1,554.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $777.96 / $1,429.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.22 / $45.32 / $45.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.58 / $1,348.36 / $2,317.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $46.61 / $46.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.06 / $1,077.57 / $1,302.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,339.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.10 / $1,140.47 / $1,733.16