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Breast Wire Localization, First Lesion

South Carolina 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 $891 · 10th–90th $132$6,1660%20%10th90th$891Professionalmedian $204 · 10th–90th $91$6030%10%10th90th$204$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
$257.04
Median
$891.25
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$204.17
Typical High
$616.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$234.42
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$208.93
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$467.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$229.09
Typical High
$478.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$6,165.95
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$223.87
Typical High
$416.87