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Breast Wire Localization, First Lesion

Colorado 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 $3,020 · 10th–90th $200$6,6070%5%10th90th$3,020Professionalmedian $204 · 10th–90th $87$4170%5%10%10th90th$204$50.0$200.0$1.0K$5.0K

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
$151.36
Median
$2,290.87
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,467.37
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$338.84
Typical High
$1,023.29
Select Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$239.88
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$446.68