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North Carolina 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
$35.36 / $1,141.59 / $1,602.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $1,018.43 / $1,343.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.24 / $1,085.68 / $2,490.28
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.59 / $1,033.31 / $1,611.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.51 / $1,033.31 / $2,723.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.46 / $1,070.30 / $2,191.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.54 / $1,211.67 / $2,059.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.48 / $177.48 / $177.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $7,170.93 / $10,233.90