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Michigan 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 $2,630 · 10th–90th $575–$4,8980%10%10th90th$2,630Professionalmedian $437 · 10th–90th $145–$1,5140%5%10%10th90th$437$50.0$200.0$1.0K$5.0K

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
$575.44 / $2,630.27 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $446.68 / $1,584.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $363.08 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $363.08 / $776.25
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $524.81 / $933.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,630.27 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $562.34 / $1,096.48
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $346.74 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,884.03 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $575.44 / $933.25