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#1364 of 11K

80346

HCPCS Procedure Code

HCPCS code 80346 is the #1,364 most-billed Medicaid procedure code, with $25.6M in payments across 3.7M claims from 2018–2024. The national median cost per claim is $8.14. Costs vary widely — the 90th percentile is $20.21 per claim, 2.5× the median.

Total Paid

$25.6M

0.00% of all spending

Total Claims

3.7M

Providers

499

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 80346? Based on 419 providers billing this code nationally.

Median

$8.14

Average

$11.08

Std Dev

$22.93

Max

$347.18

Percentile Distribution (Cost per Claim)

p10
$1.04
p25
$3.47
Median
$8.14
p75
$13.96
p90
$20.21
p95
$22.79
p99
$41.39

50% of providers bill between $3.47 and $13.96 per claim for this code.

90% bill between $1.04 and $20.21.

Top 1% bill above $41.39.

About This Procedure

HCPCS code 80346 was billed by 499 providers across 3.7M claims, totaling $25.6M in Medicaid payments from 2018–2024. This code was used for 2.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.14

Providers Billing

419

National Spending

$25.6M

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80346

#ProviderTotal Paid
1Millennium Health Llc

San Diego, CA · Clinical Medical Laboratory

$3.8M
2Brightview Llc

Cincinnati, OH · Internal Medicine Addiction Medicine

$2.1M
3Precision Toxicology, Llc

San Diego, CA · Clinical Medical Laboratory

$1.5M
4Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$1.1M
51346363306$1.0M
61467806646$892K
7Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$648K
8Aegis Sciences Corporation

Nashville, TN · Clinical Medical Laboratory

$609K
91700844339$517K
10Ideal Option, Pllc

Pasco, WA · Preventive Medicine, Addiction Medicine

$493K
11Dominion Diagnostics, Llc

North Kingstown, RI · Clinical Medical Laboratory

$415K
121215914288$379K
131326386939$347K
141821092297$314K
15Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$300K
161194744185$279K
17Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$273K
181427543586$265K
191982091617$228K
20Acutis Diagnostics Inc

Hicksville, NY · Clinical Medical Laboratory

$227K

Showing top 20 of 499 providers billing this code