81411
HCPCS Procedure Code
HCPCS code 81411 is the #4,270 most-billed Medicaid procedure code, with $702K in payments across 6K claims from 2018–2024. The national median cost per claim is $201.51.
Total Paid
$702K
0.00% of all spending
Total Claims
6K
Providers
13
Avg Cost/Claim
$125
National Cost Distribution
How much do providers bill per claim for 81411? Based on 3 providers billing this code nationally.
Median
$201.51
Average
$240.99
Std Dev
$161.89
Max
$418.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $152.00 and $310.24 per claim for this code.
90% bill between $122.29 and $375.47.
Top 1% bill above $414.62.
About This Procedure
HCPCS code 81411 was billed by 13 providers across 6K claims, totaling $702K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$201.51
Providers Billing
3
National Spending
$702K
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81411
| # | Provider | Total Paid |
|---|---|---|
| 1 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $404K |
| 2 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $280K |
| 3 | 1861568784 | $17K |
| 4 | 1205162955 | $0 |
| 5 | 1801212766 | $0 |
| 6 | 1649824350 | $0 |
| 7 | 1790109742 | $0 |
| 8 | 1609388842 | $0 |
| 9 | 1255879763 | $0 |
| 10 | 1740715333 | $0 |
| 11 | 1689264053 | $0 |
| 12 | 1114539046 | $0 |
| 13 | 1386023620 | $0 |
Showing top 13 of 13 providers billing this code