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Breast Wire Localization, First Lesion

Rhode Island 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 $3,311 · 10th–90th $646$4,4670%20%10th90th$3,311Professionalmedian $204 · 10th–90th $85$6170%5%10%10th90th$204$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$645.65
Median
$2,344.23
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$181.97
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$186.21
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,467.37
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$213.80
Typical High
$407.38