go back

Breast Wire Localization, First Lesion

Delaware 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 $219 · 10th–90th $85$3,8020%10%20%10th90th$219Professionalmedian $214 · 10th–90th $85$4370%10%10th90th$214$100.0$200.0$500.0$1.0K$2.0K$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
$85.11
Median
$218.78
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$213.80
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$363.08
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$363.08