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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
$1,096.48 / $1,230.27 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $977.24 / $1,348.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $1,513.56 / $3,715.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $954.99 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $1,548.82 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $1,548.82 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $31.62 / $40.74
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,187.76 / $3,162.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $831.76 / $3,311.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $1,513.56 / $3,715.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $977.24 / $3,090.30
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,621.81 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,187.76 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $1,122.02 / $3,090.30