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Michigan rates for HCPCS G2082

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 up to 56 mg of esketamine nasal self administration, includes 2 hours post administration observation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.15 / $41.54 / $889.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.85 / $667.75 / $890.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.61 / $781.61 / $781.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.79 / $51.79 / $990.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $57.61 / $941.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.93 / $759.74 / $1,037.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.42 / $725.38 / $834.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.37 / $725.38 / $979.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.67 / $867.25 / $1,247.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.22 / $822.34 / $1,135.80