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New Mexico 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
Professional
Modifier
Low / Median / High Price
$29.07 / $981.96 / $1,302.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,057.92 / $4,427.05 / $7,860.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $764.38 / $1,321.46
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,386.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $1,066.19 / $1,361.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.27 / $1,077.57 / $2,848.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.67 / $1,599.53 / $2,183.96