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Breast Wire Localization, First Lesion

Kentucky 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 $2,089 · 10th–90th $158$3,8020%10%10th90th$2,089Professionalmedian $186 · 10th–90th $85$3720%10%10th90th$186$50.0$200.0$1.0K$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
$147.91
Median
$851.14
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$194.98
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$109.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$177.83
Typical High
$257.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$144.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$288.40
Typical High
$1,122.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,089.30
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$199.53
Typical High
$389.05