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Wyoming 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
$33.29 / $33.89 / $1,231.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.81 / $976.84 / $1,302.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $63.00 / $2,181.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $1,077.57 / $1,210.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.92 / $1,937.89 / $3,041.73