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New Jersey 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 $4,571 · 10th–90th $741–$10,4710%10%10th90th$4,571Professionalmedian $245 · 10th–90th $36–$7410%10%10th90th$245$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
$741.31 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $245.47 / $724.44
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $8,317.64 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $295.12 / $1,047.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $338.84 / $549.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $363.08 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $169.82 / $707.95