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Florida rates for HCPCS 19086

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 magnetic resonance guidance (List separately in addition to code for primary procedure)

Facilitymedian $2,042 · 10th–90th $407–$6,7610%5%10th90th$2,042Professionalmedian $302 · 10th–90th $78–$1,1750%10%10th90th$302$0.5$2.0$10.0$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
$380.19 / $1,862.09 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $269.15 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $134.90 / $158.49
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $6,025.60 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $446.68 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $323.59 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $489.78 / $1,174.90
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,818.38 / $6,760.83
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $398.11 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,548.82 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $489.78 / $1,230.27
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $436.52 / $562.34