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Breast Wire Localization, First Lesion

Washington 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 $2,291 · 10th–90th $191$8,3180%5%10%10th90th$2,291Professionalmedian $240 · 10th–90th $93$7590%10%10th90th$240$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$218.78
Median
$3,548.13
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$229.09
Typical High
$776.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$4,168.69
Typical High
$8,709.64
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$295.12
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$676.08
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$309.03
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$56.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$467.74
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$331.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$331.13
Typical High
$602.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,365.16
Typical High
$8,709.64
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$295.12
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$5,248.07
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$281.84
Typical High
$588.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$338.84