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Breast Wire Localization, First Lesion

Missouri 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 $1,820 · 10th–90th $204$5,2480%5%10th90th$1,820Professionalmedian $204 · 10th–90th $87$4170%10%10th90th$204$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
$169.82
Median
$2,238.72
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$190.55
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$234.42
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$223.87
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$309.03
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$204.17
Typical High
$354.81