go back

Breast Wire Localization, First Lesion

Maryland 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 $741 · 10th–90th $87$1,3180%20%10th90th$741Professionalmedian $214 · 10th–90th $89$6760%10%10th90th$214$1.0$5.0$20.0$100.0$500.0$2.0K

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
$87.10
Median
$741.31
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$213.80
Typical High
$724.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$123.03
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$239.88
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$416.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$389.05