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New Hampshire 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
$2,089.30 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $588.84 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $9,772.37 / $15,488.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $954.99 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $891.25 / $1,698.24
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,737.80