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Nevada 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
$33.29 / $972.17 / $1,170.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $972.17 / $1,302.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.49 / $850.52 / $1,635.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.13 / $1,077.57 / $1,077.57
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.93 / $780.36 / $2,050.61
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.06 / $1,603.06 / $1,603.06
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.68 / $46.02 / $2,037.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.32 / $1,282.39 / $2,060.92