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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $286K |
| 2 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $209K |
| 3 | 1447437355 | $183K |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $112K |
| 5 | 1184045619 | $88K |
| 6 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $69K |
| 7 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $59K |
| 8 | 1699115857 | $51K |
| 9 | 1780620526 | $51K |
| 10 | 1740460583 | $37K |
| 11 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $36K |
| 12 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $35K |
| 13 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $32K |
| 14 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $30K |
| 15 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $29K |
| 16 | 1871615708 | $28K |
| 17 | 1467433292 | $28K |
| 18 | 1124269717 | $22K |
| 19 | 1073587937 | $22K |
| 20 | 1396408829 | $21K |
Showing top 20 of 73 providers billing this code