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Oklahoma 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
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