go back

Breast Wire Localization, First Lesion

Kansas 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 $2,512 · 10th–90th $200$6,4570%5%10%10th90th$2,512Professionalmedian $191 · 10th–90th $85$3550%5%10%10th90th$191$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$257.04
Median
$2,818.38
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$190.55
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$234.42
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$295.12
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$354.81
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$371.54