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See a sample rate comparisonCPT 19084 Fee Schedule
Medicare rates as of October 2026
CPT 19084 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
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
| 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 | $357.39 national non-facility rate (2026) · View Medicare rates for 19084 |
| Medicaid Fee Schedule | $282.205 median of the 8 states in the free preview · View Medicaid rates for 19084 |
National average reimbursement for CPT 19084 by major payers:
$513.72
BCBS / Anthem
$652.17
UnitedHealthcare
$607.03
Aetna
$229.25
Cigna
Compare published rates across providers.
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CPT 19084
5 of 25 sample ratesHigher to lower in this preview
Los Robles Surgicenter, LLC, Los Robles Surgicenter
Los Robles Surgicenter LLC
$2,622.00Published rateSurgery Center Of Scottsdale, LLC, Mountain View Surgery Center Of Scottsdale
Surgery Center Of Scottsdale LLC
$566.00Published rateBeaumont Asc, Lp, Beaumont Heart & Vascular Surgery Center
$200.00Published rateNew Britain Surgery Center LLC
New Britain Surgery Center, LLC
$140.00Published rateDel Val Asc LLC, The Eye Surgery Center
Del Val Asc LLC
$50.00Published rate
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See a sample payer proposalCPT 19084 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 19084. 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 |
| 19282-CPT | Moderate | Perq Device Breast Ea Imag, Placement Of Breast Localization Device S Eg Clip Metallic Pellet Wire Needle Radioactive Seeds Percutaneous Each Additional Lesion Including Mammographic Guidance List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19084. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19084 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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