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#5155 of 11K

43645

HCPCS Procedure Code

HCPCS code 43645 is the #5,155 most-billed Medicaid procedure code, with $274K in payments across 196 claims from 2018–2024. The national median cost per claim is $1,395.89.

Total Paid

$274K

0.00% of all spending

Total Claims

196

Providers

2

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 43645? Based on 2 providers billing this code nationally.

Median

$1,395.89

Average

$1,395.89

Std Dev

$4.84

Max

$1,399.31

Percentile Distribution (Cost per Claim)

p10
$1,393.15
p25
$1,394.18
Median
$1,395.89
p75
$1,397.60
p90
$1,398.63
p95
$1,398.97
p99
$1,399.24

50% of providers bill between $1,394.18 and $1,397.60 per claim for this code.

90% bill between $1,393.15 and $1,398.63.

Top 1% bill above $1,399.24.

About This Procedure

HCPCS code 43645 was billed by 2 providers across 196 claims, totaling $274K in Medicaid payments from 2018–2024. This code was used for 113 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,395.89

Providers Billing

2

National Spending

$274K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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