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Breast Wire Localization, First Lesion

Alaska rates for HCPCS 19281

This procedure places a thin guide wire into the breast under mammography guidance to mark the exact location of an abnormal area before a surgeon removes it. It is done shortly before surgery so the surgeon can find and remove precisely the right tissue.

Facilitymedian $513 · 10th–90th $112$1,6220%5%10th90th$513Professionalmedian $219 · 10th–90th $87$6920%10%10th90th$219$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,479.11
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$204.17
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$302.00
Typical High
$407.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$309.03
Typical High
$1,122.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$588.84
Typical High
$1,548.82
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$977.24
Typical High
$1,318.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$275.42
Typical High
$1,122.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$213.80
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$426.58
Typical High
$1,513.56