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Utah 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
$602.56 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $724.44 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $912.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,000.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $912.01 / $1,230.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,288.25
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
$524.81 / $645.65 / $1,202.26