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Washington, DC rates for HCPCS 19125

Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion

Facilitymedian $3,802 · 10th–90th $912–$6,4570%10%10th90th$3,802Professionalmedian $617 · 10th–90th $407–$1,2020%10%10th90th$617$500.0$1.0K$2.0K$5.0K$10.0K$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
$851.14 / $2,454.71 / $5,011.87
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,949.84 / $4,786.30 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $616.60 / $1,202.26
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $3,235.94 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $616.60 / $1,584.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,071.52 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $724.44 / $1,348.96