{"procedure":{"code_type":"CPT","code":"19294","lay_name":"Preparing the breast cavity for radiation during lumpectomy","blurb":"Add-on charge for preparing the cavity left after partial breast removal so radiation can be delivered in the operating room during the same surgery.","slug":"cpt-19294-preparing-the-breast-cavity-for-radiation-during-lumpectomy","description":"Prepj Tumor Cavity Iort W/Partial Mastectomy","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"166","label":"Lumpectomy, quadrantectomy of breast","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2025-10-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-23T18:19:36.920443Z","n_priced_setters":3956,"n_filed":174,"n_usable":149,"n_not_usable":1,"n_labelled":15,"n_no_cash":9,"n_estimated":0,"n_states":33,"cash_p10":159.79,"cash_p20":230.75,"cash_p25":269.5,"cash_p50":404.0,"cash_p75":980.0,"cash_p80":1482.0,"cash_p90":5741.0,"cash_mean_trimmed":573.62,"gross_p50":505.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":8,"p20":null,"p50":null,"p80":null},{"state":"CA","n":26,"p20":980.0,"p50":980.0,"p80":980.0},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":404.0,"p50":404.0,"p80":404.0},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"IN","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":6,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":12,"p20":4350.0,"p50":5110.0,"p80":5855.0},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":7,"p20":null,"p50":null,"p80":null},{"state":"OH","n":5,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":269.5,"p50":269.5,"p80":269.5},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":10,"p20":87.4,"p50":105.8,"p80":119.6},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":1,"p20":null,"p50":null,"p80":null},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":142,"p20":230.75,"p50":404.0,"p80":1792.64},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":5,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":12,"p20":null,"p50":null,"p80":null},{"key":"government","n":13,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":123,"p20":227.02,"p50":404.0,"p80":980.0}],"affiliation":[{"key":"affiliated","n":131,"p20":230.75,"p50":404.0,"p80":1482.0},{"key":"independent","n":18,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":105.8,"hi":160.83,"n":10},{"lo":160.83,"hi":244.48,"n":18},{"lo":244.48,"hi":371.63,"n":30},{"lo":371.63,"hi":564.92,"n":20},{"lo":564.92,"hi":858.74,"n":11},{"lo":858.74,"hi":1305.37,"n":22},{"lo":1305.37,"hi":1984.31,"n":4},{"lo":1984.31,"hi":3016.36,"n":1},{"lo":3016.36,"hi":4585.2,"n":7},{"lo":4585.2,"hi":6970.0,"n":18}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2025-10-01","filing_date_max":"2026-09-01","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-23T18:19:36.920443Z","n_priced_setters":3956,"n_filed":113,"n_usable":104,"n_not_usable":0,"n_labelled":8,"n_no_cash":1,"n_estimated":0,"n_states":25,"cash_p10":189.0,"cash_p20":269.5,"cash_p25":269.5,"cash_p50":404.0,"cash_p75":980.0,"cash_p80":980.0,"cash_p90":3751.75,"cash_mean_trimmed":550.42,"gross_p50":505.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":8,"p20":null,"p50":null,"p80":null},{"state":"CA","n":24,"p20":980.0,"p50":980.0,"p80":980.0},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":404.0,"p50":404.0,"p80":404.0},{"state":"IL","n":6,"p20":null,"p50":null,"p80":null},{"state":"IN","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":5,"p20":null,"p50":null,"p80":null},{"state":"OH","n":2,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":269.5,"p50":269.5,"p80":269.5},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":98,"p20":269.5,"p50":404.0,"p80":980.0},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":4,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":12,"p20":null,"p50":null,"p80":null},{"key":"government","n":9,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":82,"p20":269.5,"p50":404.0,"p80":980.0}],"affiliation":[{"key":"affiliated","n":90,"p20":269.5,"p50":404.0,"p80":980.0},{"key":"independent","n":14,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":169.2,"hi":245.41,"n":14},{"lo":245.41,"hi":355.93,"n":26},{"lo":355.93,"hi":516.24,"n":20},{"lo":516.24,"hi":748.74,"n":2},{"lo":748.74,"hi":1085.97,"n":21},{"lo":1085.97,"hi":1575.07,"n":3},{"lo":1575.07,"hi":2284.46,"n":0},{"lo":2284.46,"hi":3313.34,"n":0},{"lo":3313.34,"hi":4805.62,"n":4},{"lo":4805.62,"hi":6970.0,"n":9}],"previous":null}},"related":[{"code_type":"CPT","code":"19120","lay_name":"Open removal of one or more breast lumps","slug":"cpt-19120-open-removal-of-one-or-more-breast-lumps"},{"code_type":"CPT","code":"19301","lay_name":"Partial breast removal (lumpectomy)","slug":"cpt-19301-partial-breast-removal-lumpectomy"},{"code_type":"CPT","code":"19125","lay_name":"Removal of breast lesion marked before surgery","slug":"cpt-19125-removal-of-breast-lesion-marked-before-surgery"},{"code_type":"CPT","code":"19302","lay_name":"Partial breast removal with underarm lymph node removal","slug":"cpt-19302-partial-breast-removal-with-underarm-lymph-node-removal"},{"code_type":"CPT","code":"19126","lay_name":"Removal of each additional imaging-marked breast lesion","slug":"cpt-19126-removal-of-each-additional-imaging-marked-breast-lesion"},{"code_type":"CPT","code":"19297","lay_name":"Radiation balloon catheter placed during breast lumpectomy","slug":"cpt-19297-radiation-balloon-catheter-placed-during-breast-lumpectomy"}]}