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#4168 of 11K

37246

HCPCS Procedure Code

HCPCS code 37246 is the #4,168 most-billed Medicaid procedure code, with $788K in payments across 1K claims from 2018–2024. The national median cost per claim is $313.59. Costs vary widely — the 90th percentile is $780.87 per claim, 2.5× the median.

Total Paid

$788K

0.00% of all spending

Total Claims

1K

Providers

10

Avg Cost/Claim

$637

National Cost Distribution

How much do providers bill per claim for 37246? Based on 9 providers billing this code nationally.

Median

$313.59

Average

$427.91

Std Dev

$376.37

Max

$1,295.36

Percentile Distribution (Cost per Claim)

p10
$99.70
p25
$236.04
Median
$313.59
p75
$524.32
p90
$780.87
p95
$1,038.12
p99
$1,243.91

50% of providers bill between $236.04 and $524.32 per claim for this code.

90% bill between $99.70 and $780.87.

Top 1% bill above $1,243.91.

About This Procedure

HCPCS code 37246 was billed by 10 providers across 1K claims, totaling $788K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$313.59

Providers Billing

9

National Spending

$788K

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 37246

#ProviderTotal Paid
11154401941$630K
21881186377$74K
31104960558$33K
41689835563$24K
51437168325$11K
61225062490$8K
71346734365$4K
81275508954$3K
91215267471$2K
101922346832$0

Showing top 10 of 10 providers billing this code