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South Carolina 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
$27.31 / $900.89 / $1,302.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.06 / $1,176.06 / $1,176.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $1,231.79 / $1,839.74
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.15 / $1,007.98 / $1,574.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.51 / $1,007.98 / $2,723.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.91 / $1,315.81 / $2,030.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.44 / $1,110.11 / $1,665.18