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Breast Wire Localization, First Lesion

Florida 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 $2,455 · 10th–90th $589$6,7610%5%10th90th$2,455Professionalmedian $204 · 10th–90th $87$4370%10%10th90th$204$50.0$200.0$1.0K$5.0K$20.0K

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
$588.84
Median
$2,238.72
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$218.78
AvMed
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$4,265.80
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$194.98
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$213.80
Typical High
$407.38
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,248.07
Typical High
$10,471.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,311.31
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$204.17
Typical High
$407.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$181.97
Typical High
$239.88