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Breast Wire Localization, First Lesion

Utah 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 $2,754 · 10th–90th $759$4,4670%5%10%10th90th$2,754Professionalmedian $219 · 10th–90th $89$5250%10%10th90th$219$20.0$100.0$500.0$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
$758.58
Median
$2,754.23
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$218.78
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$275.42
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$489.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$269.15
Typical High
$501.19
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$323.59
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$416.87