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Breast Wire Localization, First Lesion

Vermont 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 $2,399 · 10th–90th $2,399$2,6920%20%40%90th$2,399Professionalmedian $204 · 10th–90th $85$5130%10%10th90th$204$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$331.13
Typical High
$588.84