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Massachusetts 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,905.46 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $478.63 / $2,454.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $501.19 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $478.63 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $676.08 / $2,041.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $501.19 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,584.89
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $562.34 / $1,380.38
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $416.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $501.19 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $478.63 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $371.54 / $1,479.11