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New Jersey rates for HCPCS 19085

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 magnetic resonance guidance

Facilitymedian $5,248 · 10th–90th $1,585–$9,1200%10%10th90th$5,248Professionalmedian $525 · 10th–90th $158–$1,6980%10%10th90th$525$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
$1,584.89 / $5,370.32 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $457.09 / $1,621.81
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $977.24 / $5,248.07
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $223.87 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $741.31 / $2,630.27
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $851.14 / $1,380.38
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,248.07 / $8,317.64
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $851.14 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,128.61 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $446.68 / $1,698.24