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Rhode Island rates for HCPCS G2083

Office Or Other Outpatient Visit For The Evaluatioand 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
$872.98 / $989.37 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.78 / $1,033.22 / $1,377.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.19 / $2,790.19 / $4,283.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.58 / $176.78 / $1,741.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.57 / $1,077.57 / $1,077.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.57 / $1,396.76 / $2,033.01