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Breast Wire Localization, First Lesion

New Jersey 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 $3,802 · 10th–90th $1,122$7,5860%5%10%10th90th$3,802Professionalmedian $209 · 10th–90th $85$4790%10%10th90th$209$50.0$200.0$1.0K$5.0K$20.0K

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
$1,122.02
Median
$3,801.89
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$269.15
Typical High
$630.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$446.68
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,248.07
Typical High
$8,317.64
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$245.47
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$169.82
Typical High
$446.68