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#3242 of 11K

81330

HCPCS Procedure Code

HCPCS code 81330 is the #3,242 most-billed Medicaid procedure code, with $2.2M in payments across 149K claims from 2018–2024. The national median cost per claim is $13.18. Costs vary widely — the 90th percentile is $43.80 per claim, 3.3× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

149K

Providers

48

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 81330? Based on 42 providers billing this code nationally.

Median

$13.18

Average

$21.78

Std Dev

$29.53

Max

$167.82

Percentile Distribution (Cost per Claim)

p10
$1.61
p25
$5.67
Median
$13.18
p75
$27.71
p90
$43.80
p95
$61.65
p99
$135.45

50% of providers bill between $5.67 and $27.71 per claim for this code.

90% bill between $1.61 and $43.80.

Top 1% bill above $135.45.

About This Procedure

HCPCS code 81330 was billed by 48 providers across 149K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 131K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.18

Providers Billing

42

National Spending

$2.2M

Avg/Median Ratio

1.65×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 81330

#ProviderTotal Paid
11114222817$584K
21689975021$351K
3Myriad Women's Health, Inc.

South San Francisco, CA · Clinical Medical Laboratory

$246K
4Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$193K
51326484569$131K
6Natera Inc.

San Carlos, CA · Clinical Medical Laboratory

$129K
7Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$93K
81518415991$69K
9Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$63K
101063892396$50K
11Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$43K
12Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$34K
131104829159$29K
14Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$20K
15Sherman Abrams Laboratory Inc

Brooklyn, NY · Clinical Medical Laboratory

$19K
161265418669$14K
171659726487$10K
18Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$8K
19Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$8K
20Speciality Screening Llc

Wauwatosa, WI · Clinical Medical Laboratory

$8K

Showing top 20 of 48 providers billing this code