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#2806 of 11K

81419

HCPCS Procedure Code

HCPCS code 81419 is the #2,806 most-billed Medicaid procedure code, with $3.5M in payments across 10K claims from 2018–2024. The national median cost per claim is $386.39.

Total Paid

$3.5M

0.00% of all spending

Total Claims

10K

Providers

16

Avg Cost/Claim

$368

National Cost Distribution

How much do providers bill per claim for 81419? Based on 11 providers billing this code nationally.

Median

$386.39

Average

$393.01

Std Dev

$431.69

Max

$1,484.83

Percentile Distribution (Cost per Claim)

p10
$28.23
p25
$74.77
Median
$386.39
p75
$490.75
p90
$721.98
p95
$1,103.40
p99
$1,408.54

50% of providers bill between $74.77 and $490.75 per claim for this code.

90% bill between $28.23 and $721.98.

Top 1% bill above $1,408.54.

About This Procedure

HCPCS code 81419 was billed by 16 providers across 10K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$386.39

Providers Billing

11

National Spending

$3.5M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81419

#ProviderTotal Paid
1Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$3.1M
2Genedx Llc

Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics

$165K
3Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$80K
41518713072$74K
51861568784$35K
61629109137$19K
71770207607$16K
81275292294$7K
91528653334$2K
101639879034$2K
111932843836$98
121215055256$0
131417705153$0
141881334290$0
151447843750$0
161427595354$0

Showing top 16 of 16 providers billing this code