go back

South Dakota rates for HCPCS 59855

Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.40 / $362.40 / $362.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.40 / $513.16 / $1,173.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.22 / $905.31 / $1,131.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.38 / $612.46 / $1,073.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.24 / $816.55 / $3,075.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.16 / $1,018.59 / $1,319.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.00 / $921.70 / $1,152.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.22 / $707.72 / $832.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.24 / $721.40 / $1,122.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.40 / $954.60 / $992.80