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Oklahoma 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
$27.94 / $976.84 / $1,201.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $670.71 / $1,116.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.57 / $1,077.57 / $1,077.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.59 / $1,045.89 / $1,762.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $1,143.42 / $7,170.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.10 / $1,165.63 / $1,543.07