81329
HCPCS Procedure Code
HCPCS code 81329 is the #805 most-billed Medicaid procedure code, with $77.2M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $48.02. Costs vary widely — the 90th percentile is $119.43 per claim, 2.5× the median.
Total Paid
$77.2M
0.01% of all spending
Total Claims
1.8M
Providers
243
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for 81329? Based on 218 providers billing this code nationally.
Median
$48.02
Average
$62.38
Std Dev
$54.58
Max
$506.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.35 and $94.26 per claim for this code.
90% bill between $9.38 and $119.43.
Top 1% bill above $213.39.
About This Procedure
HCPCS code 81329 was billed by 243 providers across 1.8M claims, totaling $77.2M in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$48.02
Providers Billing
218
National Spending
$77.2M
Avg/Median Ratio
1.30×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81329
| # | Provider | Total Paid |
|---|---|---|
| 1 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $19.2M |
| 2 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $7.5M |
| 3 | 1598314437 | $6.7M |
| 4 | 1689975021 | $6.6M |
| 5 | State Of Alabama Department Of Public Health Prattville, AL · Clinical Medical Laboratory | $5.5M |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $2.2M |
| 7 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $1.9M |
| 8 | 1780620526 | $1.8M |
| 9 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1.8M |
| 10 | 1235528225 | $1.7M |
| 11 | 1114222817 | $1.6M |
| 12 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $1.4M |
| 13 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.3M |
| 14 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $1.1M |
| 15 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $918K |
| 16 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $916K |
| 17 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $814K |
| 18 | 1245382753 | $738K |
| 19 | 1063892396 | $595K |
| 20 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $584K |
Showing top 20 of 243 providers billing this code