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South Dakota 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
$489.83 / $489.83 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.00 / $489.83 / $1,477.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.06 / $1,224.75 / $1,530.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.94 / $833.13 / $1,450.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.11 / $1,090.45 / $4,177.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.26 / $1,383.77 / $1,800.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.00 / $1,218.33 / $1,570.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.29 / $900.36 / $1,135.31
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
$623.11 / $1,038.52 / $1,533.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.40 / $1,301.70 / $1,353.80