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Illinois rates for HCPCS 19286

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)

Facilitymedian $1,000 · 10th–90th $81–$5,1290%10%10th90th$1,000Professionalmedian $245 · 10th–90th $37–$5750%10%10th90th$245$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $1,000.00 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $223.87 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $467.74 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $144.54 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $245.47 / $575.44
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $398.11 / $724.44
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $52.48 / $371.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $851.14 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $316.23 / $676.08