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Breast Wire Localization, First Lesion

Idaho 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 $1,288 · 10th–90th $182$4,4670%10%20%10th90th$1,288Professionalmedian $204 · 10th–90th $89$4170%5%10%10th90th$204$50.0$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
$181.97
Median
$1,621.81
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$204.17
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$851.14
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$371.54
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$416.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$331.13
Typical High
$3,235.94
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$229.09
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,630.78
Typical High
$5,248.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$407.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$407.38