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Louisiana 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
$978.23 / $978.23 / $978.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.13 / $978.23 / $1,302.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.07 / $1,108.07 / $1,108.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,422.40 / $1,422.40 / $1,422.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.40 / $1,422.40 / $1,450.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
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 / $1,077.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.62 / $1,110.11 / $1,698.48