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Texas 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 $1,122 · 10th–90th $34$2,2910%10%20%10th90th$1,122Professionalmedian $933 · 10th–90th $28$1,2590%20%10th90th$933$1.0$5.0$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
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $977.24 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $61.66 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $831.76 / $1,023.29
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $1,348.96 / $2,290.87
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $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
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $10,232.93 / $10,232.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $1,122.02 / $2,137.96
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $977.24 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $1,230.27 / $5,011.87
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $1,122.02 / $2,089.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $1,258.93 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $912.01 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $776.25 / $1,548.82
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $1,348.96 / $1,621.81