go back

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
$100.00 / $2,096.42 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.77 / $344.77 / $2,096.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,497.60 / $8,973.87 / $15,644.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.65 / $918.65 / $1,337.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.09 / $1,176.17 / $1,740.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.88 / $1,289.23 / $2,140.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.11 / $1,020.92 / $1,724.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.67 / $497.94 / $633.74