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Missouri 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
$26.26 / $52.52 / $1,136.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.34 / $862.98 / $1,201.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.91 / $1,554.91 / $1,554.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.08 / $765.46 / $1,303.43
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
$35.11 / $1,009.57 / $2,142.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $1,223.94 / $7,170.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.95 / $1,221.13 / $1,701.32