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
$278.00 / $2,791.00 / $7,629.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.64 / $1,431.39 / $4,494.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.00 / $3,623.00 / $7,799.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.16 / $156.16 / $224.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00