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Virginia 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
Facility
Modifier
Low / Median / High Price
$26.05 / $34.74 / $1,169.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $900.89 / $1,201.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $735.12 / $1,740.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $31.72 / $61.85
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.43 / $1,393.04 / $2,028.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.74 / $1,033.31 / $1,780.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $1,753.52 / $2,045.77
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.35 / $33.60 / $59.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.38 / $1,307.46 / $2,044.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.17 / $1,320.14 / $2,055.91