81408
Molecular pathology procedure, level nine
Molecular pathology procedure, level nine is the #515 most-billed Medicaid procedure code, with $171.0M in payments across 665K claims from 2018–2024. The national median cost per claim is $158.72. Costs vary widely — the 90th percentile is $1,264.28 per claim, 8.0× the median.
Total Paid
$171.0M
0.02% of all spending
Total Claims
665K
Providers
145
Avg Cost/Claim
$257
National Cost Distribution
How much do providers bill per claim for 81408? Based on 96 providers billing this code nationally.
Median
$158.72
Average
$411.84
Std Dev
$487.30
Max
$1,720.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $51.12 and $652.68 per claim for this code.
90% bill between $15.89 and $1,264.28.
Top 1% bill above $1,428.64.
About This Procedure
HCPCS code 81408 (Molecular pathology procedure, level nine) was billed by 145 providers across 665K claims, totaling $171.0M in Medicaid payments from 2018–2024. This code was used for 571K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$158.72
Providers Billing
96
National Spending
$171.0M
Avg/Median Ratio
2.59×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81408
| # | Provider | Total Paid |
|---|---|---|
| 1 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $108.0M |
| 2 | 1235528225 | $11.2M |
| 3 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $8.7M |
| 4 | 1790023547 | $5.7M |
| 5 | 1013973866 | $5.6M |
| 6 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $5.1M |
| 7 | 1063892396 | $3.7M |
| 8 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $2.7M |
| 9 | Speciality Screening Llc Wauwatosa, WI · Clinical Medical Laboratory | $2.0M |
| 10 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $1.6M |
| 11 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $1.4M |
| 12 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $1.3M |
| 13 | 1518415991 | $1.1M |
| 14 | Myriad Genetic Laboratories, Inc. Salt Lake City, UT · Clinical Medical Laboratory | $1.0M |
| 15 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $932K |
| 16 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $881K |
| 17 | 1033124961 | $836K |
| 18 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $762K |
| 19 | 1659726487 | $760K |
| 20 | 1861568784 | $755K |
Showing top 20 of 145 providers billing this code