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New Jersey rates for HCPCS 19125

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

Facilitymedian $6,607 · 10th–90th $2,692–$10,9650%10%10th90th$6,607Professionalmedian $575 · 10th–90th $407–$1,3180%10%10th90th$575$200.0$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
$2,691.53 / $6,606.93 / $10,715.19
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,265.80 / $8,128.31 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $1,348.96
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $6,918.31 / $12,302.69
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $501.19 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $707.95 / $1,778.28
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $758.58 / $1,023.29
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $12,882.50 / $19,498.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $645.65 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $6,165.95 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $524.81 / $1,047.13