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Utah rates for HCPCS 19287

Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $524.81 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $691.83 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $2,754.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $309.03 / $1,698.24
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $562.34 / $1,621.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $812.83 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $562.34 / $1,380.38