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Utah 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
$489.78 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $831.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $676.08 / $891.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $870.96