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Pennsylvania 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 $1,288 · 10th–90th $87$7,2440%5%10th90th$1,288Professionalmedian $245 · 10th–90th $37$6460%10%10th90th$245$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $1,288.25 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $245.47 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,905.46 / $13,489.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $501.19 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $275.42 / $616.60
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $489.78
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $389.05 / $537.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $602.56 / $1,258.93
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,659.59 / $6,606.93
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $1,513.56 / $6,165.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $269.15 / $794.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $512.86 / $870.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $72.44 / $407.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $72.44 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $630.96 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $173.78 / $602.56