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Virginia 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 $1,202 · 10th–90th $95–$4,6770%5%10th90th$1,202Professionalmedian $347 · 10th–90th $72–$7590%5%10%10th90th$347$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
$131.83 / $1,258.93 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $309.03 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $218.78 / $588.84
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $134.90 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $309.03 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $416.87 / $1,148.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $338.84 / $758.58
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $107.15 / $1,659.59
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $691.83 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $1,047.13 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $275.42 / $912.01