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New York 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
$305.87 / $1,057.16 / $1,361.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.76 / $1,021.25 / $1,354.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.96 / $765.46 / $1,898.72
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.99 / $44.99 / $44.99
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.99 / $44.99 / $1,256.29
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.65 / $53.77 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.66 / $1,682.76 / $2,429.04
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.19 / $1,112.20 / $1,323.51
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.72 / $1,301.27 / $2,495.37
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.20 / $1,112.20 / $1,112.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.74 / $1,164.74 / $1,164.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $46.61 / $46.61
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.51 / $1,077.57 / $2,492.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.92 / $1,263.66 / $2,494.36
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.02 / $37.90 / $1,323.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.77 / $1,340.23 / $2,177.40