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Breast Wire Localization, First Lesion

Tennessee 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 $1,820 · 10th–90th $355$3,4670%10%10th90th$1,820Professionalmedian $200 · 10th–90th $91$3980%10%10th90th$200$50.0$200.0$1.0K$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
$354.81
Median
$1,737.80
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$199.53
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,187.76
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$257.04
Typical High
$436.52
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$741.31
Typical High
$741.31
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,187.76
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$223.87
Typical High
$446.68