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#281 of 11K

0241U

Proprietary lab analysis, genomic sequencing

Proprietary lab analysis, genomic sequencing is the #281 most-billed Medicaid procedure code, with $504.0M in payments across 6.2M claims from 2018–2024. The national median cost per claim is $91.47.

Total Paid

$504.0M

0.05% of all spending

Total Claims

6.2M

Providers

3K

Avg Cost/Claim

$81

National Cost Distribution

How much do providers bill per claim for 0241U? Based on 3K providers billing this code nationally.

Median

$91.47

Average

$86.59

Std Dev

$62.87

Max

$927.50

Percentile Distribution (Cost per Claim)

p10
$6.66
p25
$35.29
Median
$91.47
p75
$128.79
p90
$142.63
p95
$159.57
p99
$240.20

50% of providers bill between $35.29 and $128.79 per claim for this code.

90% bill between $6.66 and $142.63.

Top 1% bill above $240.20.

About This Procedure

HCPCS code 0241U (Proprietary lab analysis, genomic sequencing) was billed by 3K providers across 6.2M claims, totaling $504.0M in Medicaid payments from 2018–2024. This code was used for 5.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$91.47

Providers Billing

3K

National Spending

$504.0M

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0241U

#ProviderTotal Paid
11881793750$6.6M
2United Eg Llc

Lombard, IL · Clinical Medical Laboratory

$6.5M
3Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$6.2M
4Wakemed

Raleigh, NC · General Acute Care Hospital

$5.4M
51043218944$4.7M
6Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$4.4M
71902980865$4.3M
8Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$3.7M
91104362169$3.4M
101114367497$3.3M
11Novant Health New Hanover Regional Medical Center Llc

Wilmington, NC · Psychiatric Unit

$3.3M
121598766495$3.2M
13Fairview Hospital

Cleveland, OH · General Acute Care Hospital

$3.1M
141962442012$2.9M
15Bridgeport Hospital

Bridgeport, CT · General Acute Care Hospital

$2.7M
16Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$2.6M
171639172869$2.5M
181750788238$2.5M
19Holzer Hospital Foundation

Gallipolis, OH · General Acute Care Hospital Rural

$2.4M
201780986257$2.4M

Showing top 20 of 3K providers billing this code