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Utah 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 $3,020 · 10th–90th $389–$4,5710%10%10th90th$3,020Professionalmedian $110 · 10th–90th $39–$5130%10%10th90th$110$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $93.33 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $316.23 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $208.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $91.20 / $758.58
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $295.12 / $602.56
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $389.05 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $269.15 / $645.65