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Massachusetts rates for HCPCS 19126

Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure)

Facilitymedian $3,020 · 10th–90th $234–$5,1290%5%10%10th90th$3,020$100.0$500.0$2.0K$10.0K$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
$1,737.80 / $3,235.94 / $5,128.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $2,041.74 / $45,708.82
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $208.93 / $3,630.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,047.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $2,041.74 / $45,708.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,862.09 / $2,818.38