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New York 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 $4,074 · 10th–90th $479$9,7720%10%10th90th$4,074Professionalmedian $468 · 10th–90th $148$1,3800%10%10th90th$468$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
$446.68 / $3,981.07 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $416.87 / $1,348.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $562.34 / $1,659.59
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $1,698.24 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $4,365.16 / $53,703.18
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
$204.17 / $645.65 / $2,238.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $245.47 / $524.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $691.83 / $1,000.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $630.96 / $1,230.27
Fidelis
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,890.45 / $6,025.60
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $794.33 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,467.37 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $501.19 / $1,288.25
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $173.78 / $288.40
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $524.81 / $1,000.00