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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

Facilitymedian $1,698 · 10th–90th $40$2,3990%20%10th90th$1,698Professionalmedian $977 · 10th–90th $30$2,2910%10%10th90th$977$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $977.24 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $1,288.25 / $3,311.31
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,202.26 / $2,238.72
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $1,023.29 / $3,090.30
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,398.83 / $2,398.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $1,202.26 / $2,344.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $1,258.93 / $2,884.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,890.45 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $1,122.02 / $3,019.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $891.25 / $2,511.89