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. Author manuscript; available in PMC: 2014 May 13.
Published in final edited form as: Contraception. 2014 Jan 24;89(5):451–459. doi: 10.1016/j.contraception.2013.10.019

Table 2.

Unit costs and resources

Unit Cost Comment
Method cost (annual)
LNG-IUS 13.5mg $650.32 Incurred only in year of insertion.
SARC $544.25 Incurred each year.
Subsequent method $401.83 Incurred each year.
Resource cost (per resource)
Initial physician consultation (LNG-IUS 13.5mg) $104.16 Higher fee as longer consult; CPT code 99214 [2022].
Initial physician consultation (all SARC) $42.55 Lower fee as shorter consult; CPT code 99212 [2022].
Insertion consultation $70.80 Incurred only in year of insertion; CPT code 58300 [2022].
Follow-up consultation (LNG-IUS 13.5mg) $104.16 To check placement in year of insertion; CPT code 99214 [2022].
Follow-up consultation (all SARC) $0 Assuming prescription renewals are provided during annual check-up therefore, no additional follow-up costs.
Injection administration $129.50 Assuming 4 injections per year at $32.38 per administration; CPT code 96372 [2022].
Removal consultation $97.01 Incurred only in year of discontinuation or at end of method life span; CPT code 58301 [2022].
Pregnancy outcome cost (per outcome)
Live birth $4,988.24 Weighted average of DRG codes 767, 768, 774, 775, 765 and 766 [2022].
Spontaneous abortion $889.25 DRG code 778 [2022].
Induced abortion $734.03 Weighted average of DRG codes 770 and 779 [2022].
Ectopic pregnancy $4,919.21 DRG code 777 [2022].