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Nebraska 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
$25.52 / $34.02 / $1,121.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $841.43 / $1,136.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.77 / $2,683.73 / $2,683.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.73 / $32.71 / $1,111.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.75 / $1,475.90 / $2,684.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.02 / $1,074.54 / $2,027.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $1,823.47 / $7,170.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.46 / $1,475.90 / $2,780.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.44 / $1,475.90 / $2,394.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $1,070.30 / $2,234.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.13 / $2,010.87 / $2,793.99