go back

Vermont 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
$838.45 / $950.24 / $1,117.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.45 / $1,051.66 / $1,361.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.57 / $1,077.57 / $1,077.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.57 / $1,077.57 / $1,627.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.90 / $1,580.43 / $3,529.26