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Michigan rates for HCPCS 19084

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)

Facilitymedian $1,259 · 10th–90th $115–$3,9810%10%10th90th$1,259Professionalmedian $309 · 10th–90th $68–$1,0470%5%10%10th90th$309$20.0$100.0$500.0$2.0K

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
$114.82 / $1,258.93 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $323.59 / $1,174.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $104.71 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $398.11 / $691.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $1,318.26 / $3,981.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $436.52 / $794.33
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $144.54 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,258.93 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $446.68 / $741.31