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Ohio 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 $4,169 · 10th–90th $741–$9,7720%10%10th90th$4,169Professionalmedian $380 · 10th–90th $158–$1,5490%10%10th90th$380$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$691.83 / $4,265.80 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $380.19 / $1,737.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $208.93 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $7,943.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $562.34 / $1,445.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $177.83 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $537.03 / $1,445.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,398.83 / $4,897.79
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $537.03 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $144.54
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $2,041.74
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $707.95 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,570.40 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $616.60 / $1,445.44