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Illinois rates for HCPCS G2083

Office Or Other Outpatient Visit For The Evaluatioand 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
$33.72 / $33.72 / $1,071.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.21 / $900.89 / $1,245.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.86 / $2,175.75 / $2,842.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $111.84 / $1,200.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $46.61 / $46.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.57 / $1,077.57 / $1,077.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $1,200.09 / $1,800.15
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.28 / $43.85 / $1,560.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,764.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.59 / $1,327.61 / $2,069.52