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Oklahoma 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
Professional
Modifier
Low / Median / High Price
$27.94 / $667.75 / $822.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $471.00 / $784.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.74 / $759.74 / $759.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.59 / $724.91 / $1,242.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $782.48 / $5,042.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.75 / $797.67 / $1,055.97