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Florida rates for HCPCS 19081

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance

Facilitymedian $3,467 · 10th–90th $776–$8,3180%5%10th90th$3,467Professionalmedian $407 · 10th–90th $145–$1,2300%5%10%10th90th$407$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $3,388.44 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $407.38 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $331.13 / $812.83
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,570.40 / $11,220.18
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $398.11 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $707.95 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $446.68 / $1,000.00
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,248.07 / $10,471.29
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $354.81 / $676.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,311.31 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $457.09 / $1,047.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $371.54 / $489.78