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Arizona rates for HCPCS 59857

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; with hysterotomy (failed medical evacuation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.00 / $505.45 / $2,950.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.13 / $610.84 / $763.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.02 / $673.96 / $1,146.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.10 / $714.59 / $3,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.65 / $654.45 / $4,177.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.28 / $606.66 / $1,118.39