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Utah 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
$812.83 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $489.78 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $645.65 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $416.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $1,584.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $524.81 / $1,479.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $758.58 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $524.81 / $1,258.93