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North Carolina rates for HCPCS 19125

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

Facilitymedian $5,754 · 10th–90th $631$9,5500%10%20%10th90th$5,754Professionalmedian $646 · 10th–90th $427$1,4450%10%20%10th90th$646$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$660.69 / $5,754.40 / $8,709.64
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,317.64 / $11,481.54 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $616.60 / $1,479.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $741.31 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $812.83 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $741.31 / $1,318.26
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $616.60 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $1,479.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $724.44 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $7,244.36 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $575.44 / $1,096.48
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $45,708.82
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $5,011.87