go back

Pennsylvania 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $3,801.89 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $4,466.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $3,235.94 / $7,762.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $323.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $223.87 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $645.65 / $4,265.80