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Massachusetts 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
$1,090.75 / $1,236.18 / $1,454.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $1,059.07 / $1,483.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.68 / $177.48 / $177.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.44 / $1,582.94 / $4,016.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.46 / $1,611.99 / $1,991.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.10 / $1,563.33 / $2,806.02
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.78 / $34.78 / $44.33
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.19 / $1,799.62 / $2,664.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.07 / $964.05 / $3,296.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.48 / $177.48 / $177.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $1,784.66 / $7,170.93
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.03 / $1,540.62 / $2,518.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.44 / $1,808.38 / $3,397.96