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Nebraska 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
$25.52 / $34.02 / $790.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $592.63 / $800.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.77 / $2,683.73 / $2,683.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.73 / $32.71 / $782.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.75 / $1,039.73 / $1,892.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.02 / $757.76 / $1,422.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $1,247.66 / $5,042.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.46 / $1,039.73 / $1,960.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.44 / $1,039.73 / $1,678.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $754.90 / $1,572.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.01 / $1,347.43 / $1,967.83