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Breast Wire Localization, First Lesion

Nebraska 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 $2,344 · 10th–90th $204$8,5110%10%20%10th90th$2,344Professionalmedian $240 · 10th–90th $91$7760%10%20%10th90th$240$5.0$20.0$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
$204.17
Median
$2,344.23
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$223.87
Typical High
$977.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$158.49
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$208.93
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$426.58
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$524.81
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$537.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$354.81
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,691.53
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$288.40
Typical High
$575.44