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See a sample rate comparisonCPT 19083 Fee Schedule
Medicare rates as of October 2026
CPT 19083 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Bx Breast 1st Lesion Us Imag, Biopsy Breast With Placement Of Breast Localization Device S Eg Clip Metallic Pellet When Performed And Imaging Of The Biopsy Specimen When Performed Percutaneous First Lesion Including Ultrasound Guidance
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $475.63 national non-facility rate (2026) · View Medicare rates for 19083 |
| Medicaid Fee Schedule | $374.42 median of the 8 states in the free preview · View Medicaid rates for 19083 |
National average reimbursement for CPT 19083 by major payers:
$620.65
BCBS / Anthem
$818.36
UnitedHealthcare
$773.50
Aetna
$367.80
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 19083.
CPT 19083
5 of 25 sample ratesHigher to lower in this preview
Austin Gi Surgicenter, LLC, Austin Endoscopy Center
Austin Gi Surgicenter LLC
$2,701.00Published rateFlushing Endoscopy Center, LLC
Flushing Endoscopy Center LLC
$1,418.00Published rateSpringfield Surgery Center, LLC
Springfield Surgery Center LLC
$1,056.00Published rateSurgical Eye Center Of San Antonio
$618.00Published rateMidsouth Interventional Pain Institute, LLC
Midsouth Interventional Pain Institute LLC
$273.00Published rate
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See a sample payer proposalCPT 19083 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 19083. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 19083-CPT | Moderate | Bx Breast 1st Lesion Us Imag, Biopsy Breast With Placement Of Breast Localization Device S Eg Clip Metallic Pellet When Performed And Imaging Of The Biopsy Specimen When Performed Percutaneous First Lesion Including Ultrasound Guidance |
| 19084-CPT | Moderate | Bx Breast Add Lesion Us Imag, Biopsy Breast With Placement Of Breast Localization Device S Eg Clip Metallic Pellet When Performed And Imaging Of The Biopsy Specimen When Performed Percutaneous Each Additional Lesion Including Ultrasound Guidance List Separately In Addition To Code For Primary Procedure |
| 19085-CPT | Moderate | Bx Breast 1st Lesion Mr Imag, Biopsy Breast With Placement Of Breast Localization Device S Eg Clip Metallic Pellet When Performed And Imaging Of The Biopsy Specimen When Performed Percutaneous First Lesion Including Magnetic Resonance Guidance |
| 19281-CPT | Moderate | Surgery Put Device In Breast, A Device Such As A Clip Metallic Pellet Wire/Needle Or Radioactive Seeds Is Placed In The Breast To Mark The Location Of Tissue That Is To Be Removed And To Increase The Precision With Which The Surgeon Performs The Biopsy. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19083. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19083 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
CPT code 19083 is used for a Biopsy, Breast, With Placement Of Breast Localization Device(S) (Eg, Clip, Metallic Pellet), When Performed, And Imaging Of The Biopsy Specimen, When Performed, Percutaneous; First Lesion, Including Ultrasound Guidance. It represents a moderate-complexity surgical procedure on the integumentary system.
Factors that affect fee schedules for CPT 19083 include Medicare & Medicaid rates (government-set), Private Insurance Rates (negotiated between providers and insurance companies), Geographic Location (costs may be higher in urban areas), and Provider Type (hospital providers may have different rates than private practice). For specific fee schedules based on CPT code and location, you may want to consult Payerprice's fee schedule lookup tool.