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Breast Wire Localization, First Lesion

New York 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 $3,162 · 10th–90th $234$8,7100%5%10%10th90th$3,162Professionalmedian $219 · 10th–90th $89$6030%10%20%10th90th$219$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
$204.17
Median
$3,019.95
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$208.93
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$602.56
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,801.89
Typical High
$53,703.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$338.84
Typical High
$851.14
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$131.83
Typical High
$316.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$489.78
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$512.86
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,691.53
Typical High
$4,786.30
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,467.37
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$239.88
Typical High
$588.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$154.88
Univera
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$478.63