| Code | Description | States | Median rate |
|---|---|---|---|
| 19000 | Needle drainage of a breast cyst | 48 | $78.99 |
| 19001 | Breast cyst drainage by needle, each added cyst | 48 | $21.27 |
| 19020 | Drainage of a breast abscess | 48 | $349.41 |
| 19030 | Injection for a breast duct X-ray | 45 | $128.90 |
| 19081 | Breast biopsy with stereotactic guidance | 47 | $396.71 |
| 19082 | Breast biopsy, stereotactic guidance, each added lesion | 46 | $301.00 |
| 19083 | Breast biopsy with ultrasound guidance | 47 | $397.35 |
| 19084 | Breast biopsy, ultrasound guidance, each added lesion | 46 | $296.71 |
| 19086 | Breast biopsy, MRI guidance, each added lesion | 46 | $458.36 |
| 19100 | Needle core breast biopsy, no imaging | 47 | $114.79 |
| 19101 | Open breast biopsy | 48 | $265.06 |
| 19105 | Breast fibroadenoma freezing with ultrasound, each | 39 | $1,666.84 |
| 19120 | Removal of a breast lump (excisional biopsy) | 48 | $407.72 |
| 19125 | Removal of a marked breast lesion | 48 | $459.35 |
| 19285 | Breast lesion marker placement, ultrasound guided, first | 48 | $289.42 |
| 19300 | Male breast reduction (gynecomastia) | 44 | $484.07 |
| 19301 | Partial mastectomy (lumpectomy) | 48 | $492.01 |
| 19302 | Partial mastectomy with armpit lymph node removal | 48 | $685.95 |
| 19303 | Simple complete mastectomy | 48 | $718.74 |
| 19305 | Radical mastectomy with chest muscles and armpit nodes | 47 | $862.58 |
| 19307 | Modified radical mastectomy | 48 | $891.32 |
| 19316 | Breast lift | 45 | $625.19 |
| 19318 | Breast reduction | 48 | $863.45 |
| 19325 | Breast augmentation with implant | 44 | $507.92 |
| 19328 | Removal of an intact breast implant | 46 | $406.78 |
| 19330 | Removal of a ruptured breast implant | 46 | $473.93 |
| 19350 | Nipple and areola reconstruction | 48 | $670.26 |
| 19355 | Inverted nipple correction | 35 | $594.13 |
| 19361 | Breast reconstruction with a back muscle flap | 46 | $1,171.60 |
| 19364 | Breast reconstruction with a free flap (DIEP or similar) | 46 | $2,022.76 |
| 19367 | Breast reconstruction with a belly muscle flap (TRAM) | 46 | $1,355.29 |
| 19380 | Revision of a reconstructed breast | 47 | $594.76 |
| 19396 | Custom breast implant mold preparation | 31 | $204.61 |
| 19499 | Unlisted breast procedure | 13 | $413.46 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.