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Breast Wire Localization, First Lesion

West Virginia 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 $2,089 · 10th–90th $219$6,1660%10%10th90th$2,089Professionalmedian $191 · 10th–90th $85$2690%20%10th90th$191$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$218.78
Median
$2,089.30
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$190.55
Typical High
$251.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$125.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$239.88
Typical High
$1,122.02
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,570.88
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$389.05