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Oregon 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
$32.95 / $1,064.58 / $1,470.41
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.73 / $1,154.41 / $3,074.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.53 / $1,209.36 / $2,600.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.51 / $1,288.40 / $3,244.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.34 / $2,205.09 / $2,438.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.90 / $1,245.65 / $2,990.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.30 / $1,077.57 / $2,886.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,679.08 / $3,926.90 / $4,956.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.28 / $889.67 / $3,126.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.00 / $2,122.44 / $3,317.17