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#2850 of 11K

1546P

HCPCS Procedure Code

HCPCS code 1546P is the #2,850 most-billed Medicaid procedure code, with $3.3M in payments across 11K claims from 2018–2024. The national median cost per claim is $128.02. Costs vary widely — the 90th percentile is $303.40 per claim, 2.4× the median.

Total Paid

$3.3M

0.00% of all spending

Total Claims

11K

Providers

3

Avg Cost/Claim

$291

National Cost Distribution

How much do providers bill per claim for 1546P? Based on 3 providers billing this code nationally.

Median

$128.02

Average

$199.81

Std Dev

$127.70

Max

$347.25

Percentile Distribution (Cost per Claim)

p10
$124.94
p25
$126.09
Median
$128.02
p75
$237.64
p90
$303.40
p95
$325.33
p99
$342.87

50% of providers bill between $126.09 and $237.64 per claim for this code.

90% bill between $124.94 and $303.40.

Top 1% bill above $342.87.

About This Procedure

HCPCS code 1546P was billed by 3 providers across 11K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 645 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$128.02

Providers Billing

3

National Spending

$3.3M

Avg/Median Ratio

1.56×

Moderately skewed

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.