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Alabama 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
Professional
Modifier
Low / Median / High Price
$29.10 / $873.84 / $1,141.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.98 / $741.50 / $805.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $804.34 / $1,412.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.57 / $1,077.57 / $1,077.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.08 / $965.80 / $1,445.72