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Texas 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 $1,738 · 10th–90th $219–$5,2480%5%10%10th90th$1,738Professionalmedian $295 · 10th–90th $68–$6460%10%10th90th$295$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$426.58 / $1,995.26 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $302.00 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $309.03 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,445.44 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $257.04 / $457.09
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $1,318.26 / $2,884.03
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $630.96
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $371.54 / $870.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $1,122.02
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,090.30 / $3,090.30
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $537.03 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $316.23 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $63.10
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $331.13 / $741.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $281.84 / $724.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $354.81 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $954.99 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $263.03 / $776.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81