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Virginia 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 $490 · 10th–90th $49–$5,2480%5%10%10th90th$490Professionalmedian $275 · 10th–90th $40–$6310%5%10%10th90th$275$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
$60.26 / $575.44 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $245.47 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $144.54 / $524.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $74.13 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $245.47 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $338.84 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $269.15 / $616.60
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $58.88 / $1,659.59
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $524.81 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $1,047.13 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $223.87 / $707.95