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#3440 of 11K

81270

HCPCS Procedure Code

HCPCS code 81270 is the #3,440 most-billed Medicaid procedure code, with $1.7M in payments across 69K claims from 2018–2024. The national median cost per claim is $25.45. Costs vary widely — the 90th percentile is $63.69 per claim, 2.5× the median.

Total Paid

$1.7M

0.00% of all spending

Total Claims

69K

Providers

73

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for 81270? Based on 71 providers billing this code nationally.

Median

$25.45

Average

$31.40

Std Dev

$21.51

Max

$96.61

Percentile Distribution (Cost per Claim)

p10
$9.48
p25
$16.28
Median
$25.45
p75
$45.44
p90
$63.69
p95
$73.68
p99
$87.69

50% of providers bill between $16.28 and $45.44 per claim for this code.

90% bill between $9.48 and $63.69.

Top 1% bill above $87.69.

About This Procedure

HCPCS code 81270 was billed by 73 providers across 69K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 64K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.45

Providers Billing

71

National Spending

$1.7M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81270

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$286K
2Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$209K
31447437355$183K
4Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$112K
51184045619$88K
6Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$69K
7Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$59K
81699115857$51K
91780620526$51K
101740460583$37K
11Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$36K
12Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$35K
13Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$32K
14Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$30K
15Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$29K
161871615708$28K
171467433292$28K
181124269717$22K
191073587937$22K
201396408829$21K

Showing top 20 of 73 providers billing this code