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Breast Wire Localization, First Lesion

Massachusetts 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 $1,514 · 10th–90th $110$3,3880%5%10%10th90th$1,514Professionalmedian $209 · 10th–90th $87$5890%10%10th90th$209$100.0$500.0$2.0K$10.0K$50.0K

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
$186.21
Median
$1,737.80
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$575.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,258.93
Typical High
$4,677.35
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$251.19
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$309.03
Typical High
$676.08
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$467.74
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$239.88
Typical High
$602.56
Health New England
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$2,691.53
Typical High
$3,890.45
Health New England
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,258.93
Typical High
$4,677.35
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$251.19
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,548.13
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$281.84
Typical High
$630.96