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Breast Wire Localization, First Lesion

South Dakota 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 $1,479 · 10th–90th $95$4,3650%10%10th90th$1,479Professionalmedian $240 · 10th–90th $87$6760%10%10th90th$240$100.0$200.0$500.0$1.0K$2.0K

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
$93.33
Median
$1,778.28
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$223.87
Typical High
$676.08
Avera
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$295.12
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$467.74
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$239.88
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$501.19
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$346.74
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$275.42
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$524.81