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Minnesota 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
Facility
Modifier
Low / Median / High Price
$36.52 / $48.70 / $1,729.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $934.47 / $1,470.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $3,955.44 / $5,282.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.04 / $899.66 / $4,141.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,849.21 / $4,077.52 / $8,928.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $1,077.57 / $1,764.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,469.09 / $3,659.71 / $8,423.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $970.71 / $1,389.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.54 / $1,056.58 / $2,731.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.10 / $2,128.21 / $3,952.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.23 / $2,140.31 / $3,574.43