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Pennsylvania 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,801.89 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $645.65 / $3,019.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $245.47 / $251.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,230.27 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $691.83 / $1,621.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $1,230.27
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $1,000.00 / $1,479.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,981.07 / $7,762.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,630.78 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $691.83 / $2,238.72
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,698.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $2,187.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $354.81 / $1,047.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $354.81 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,691.53 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $501.19 / $1,445.44