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See a sample rate comparisonCPT 19085 Fee Schedule
Medicare rates as of October 2026
CPT 19085 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
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
| 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 | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $718.79 national non-facility rate (2026) · View Medicare rates for 19085 |
| Medicaid Fee Schedule | $567.71 median of the 8 states in the free preview · View Medicaid rates for 19085 |
National average reimbursement for CPT 19085 by major payers:
$981.03
BCBS / Anthem
$1,243.70
UnitedHealthcare
$1,185.41
Aetna
$478.81
Cigna
Compare published rates across providers.
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CPT 19085
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$3,611.00Published rateUniversity Surgery Center Ltd
$1,276.00Published rateExecutive Endoscopy, Inc, Endoscopy Center Of San Jose
Executive Endoscopy Inc
$750.00Published rateCataract Institute Of Oklahoma LLC
Cataract Institute Of Oklahoma LLC 401(K) Plan And Trust
$539.00Published rateSoutheastern Gastroenterology Endoscopy Center, PA
Southeastern Gastroenterology Endoscopy Center PA
$403.00Published rate
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See a sample payer proposalCPT 19085 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 19085. 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 |
| 19086-CPT | Moderate | Bx Breast Add 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 Each Additional Lesion Including Magnetic Resonance 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 19085. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19085 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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