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Breast Wire Localization, First Lesion

Oregon 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 $589 · 10th–90th $200$6,0260%10%10th90th$589Professionalmedian $224 · 10th–90th $87$6610%5%10%10th90th$224$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
$223.87
Median
$1,348.96
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$213.80
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$575.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$331.13
Typical High
$4,073.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$354.81
Typical High
$630.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$478.63
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$245.47
Typical High
$562.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$257.04
Typical High
$630.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,570.88
Typical High
$6,456.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,495.41
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$302.00
Typical High
$630.96