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Utah 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 $891 · 10th–90th $794–$1,0470%20%10th90th$891Professionalmedian $955 · 10th–90th $29–$1,3490%10%10th90th$955$20.0$100.0$500.0$2.0K

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
$794.33 / $891.25 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $954.99 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $69.18 / $1,621.81
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $1,230.27 / $1,412.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $1,445.44 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $831.76 / $1,698.24