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Breast Wire Localization, First Lesion

Connecticut 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 $3,631 · 10th–90th $1,230$6,3100%10%10th90th$3,631Professionalmedian $204 · 10th–90th $87$4270%10%10th90th$204$20.0$100.0$500.0$2.0K$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
$1,230.27
Median
$3,630.78
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$11,748.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$331.13
Typical High
$630.96
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,238.72
Typical High
$3,630.78
Health New England
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,025.60
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$218.78
Typical High
$478.63