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Breast Wire Localization, First Lesion

Montana 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 $407 · 10th–90th $166$4,3650%20%10th90th$407Professionalmedian $214 · 10th–90th $95$7240%10%10th90th$214$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
$812.83
Median
$2,630.27
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$75,857.76
Typical High
$95,499.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$169.82
Typical High
$380.19
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$389.05
Typical High
$446.68
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$389.05
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$489.78