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Michigan 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

Facilitymedian $955 · 10th–90th $30–$1,2590%10%10th90th$955Professionalmedian $912 · 10th–90th $28–$1,2590%10%10th90th$912$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $40.74 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $912.01 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $1,412.54 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $1,258.93 / $1,479.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $1,071.52 / $1,318.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $977.24 / $1,348.96
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,202.26 / $4,570.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $831.76 / $1,548.82