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Pennsylvania rates for HCPCS 19083

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 ultrasound guidance

Facilitymedian $3,467 · 10th–90th $851$7,0790%10%10th90th$3,467Professionalmedian $447 · 10th–90th $135$1,6600%10%10th90th$447$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$831.76 / $3,388.44 / $7,079.46
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,019.95 / $4,570.88 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $446.68 / $1,778.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $234.42 / $724.44
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,715.35 / $6,025.60
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $141.25 / $724.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $812.83 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $363.08 / $1,000.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $812.83
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $660.69 / $912.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,630.78 / $6,606.93
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,148.15 / $6,025.60 / $8,912.51
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $398.11 / $794.33
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,715.35 / $8,912.51
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $158.49 / $776.25
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $2,454.71 / $6,606.93
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $7,079.46
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $446.68 / $1,096.48
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,691.53 / $4,786.30
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $851.14 / $1,348.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $380.19 / $489.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $380.19 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,951.21 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $346.74 / $933.25