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#3970 of 11K

81170

HCPCS Procedure Code

HCPCS code 81170 is the #3,970 most-billed Medicaid procedure code, with $971K in payments across 13K claims from 2018–2024. The national median cost per claim is $80.31.

Total Paid

$971K

0.00% of all spending

Total Claims

13K

Providers

6

Avg Cost/Claim

$74

National Cost Distribution

How much do providers bill per claim for 81170? Based on 6 providers billing this code nationally.

Median

$80.31

Average

$98.26

Std Dev

$48.85

Max

$192.36

Percentile Distribution (Cost per Claim)

p10
$64.74
p25
$73.49
Median
$80.31
p75
$100.89
p90
$149.72
p95
$171.04
p99
$188.10

50% of providers bill between $73.49 and $100.89 per claim for this code.

90% bill between $64.74 and $149.72.

Top 1% bill above $188.10.

About This Procedure

HCPCS code 81170 was billed by 6 providers across 13K claims, totaling $971K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$80.31

Providers Billing

6

National Spending

$971K

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81170

#ProviderTotal Paid
11013973866$671K
2Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$265K
31831600295$16K
41447437355$11K
5Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$6K
61548296106$1K

Showing top 6 of 6 providers billing this code