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Breast Wire Localization, First Lesion

Maine 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 $457 · 10th–90th $105$2,1380%10%10th90th$457Professionalmedian $204 · 10th–90th $87$3980%5%10th90th$204$100.0$500.0$2.0K$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
$104.71
Median
$457.09
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$288.40
Typical High
$537.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$446.68
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$199.53
Typical High
$33,113.11
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$204.17
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$251.19
Typical High
$489.78