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#168 of 11K

81420

Fetal chromosomal aneuploidy genomic sequence analysis

Fetal chromosomal aneuploidy genomic sequence analysis is the #168 most-billed Medicaid procedure code, with $1.03B in payments across 3.5M claims from 2018–2024. The national median cost per claim is $358.21.

Total Paid

$1.03B

0.09% of all spending

Total Claims

3.5M

Providers

220

Avg Cost/Claim

$293

National Cost Distribution

How much do providers bill per claim for 81420? Based on 197 providers billing this code nationally.

Median

$358.21

Average

$367.28

Std Dev

$242.46

Max

$1,877.18

Percentile Distribution (Cost per Claim)

p10
$45.48
p25
$203.41
Median
$358.21
p75
$523.15
p90
$673.50
p95
$711.89
p99
$824.27

50% of providers bill between $203.41 and $523.15 per claim for this code.

90% bill between $45.48 and $673.50.

Top 1% bill above $824.27.

About This Procedure

HCPCS code 81420 (Fetal chromosomal aneuploidy genomic sequence analysis) was billed by 220 providers across 3.5M claims, totaling $1.03B in Medicaid payments from 2018–2024. This code was used for 3.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$358.21

Providers Billing

197

National Spending

$1.03B

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81420

#ProviderTotal Paid
1Natera Inc.

San Carlos, CA · Clinical Medical Laboratory

$298.8M
2Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$132.7M
3Myriad Women's Health, Inc.

South San Francisco, CA · Clinical Medical Laboratory

$82.9M
41730481078$72.1M
5Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$44.8M
61598314437$37.6M
7Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$34.8M
81235528225$28.6M
9Genetic Disease Screening Program State Of Ca

Richmond, CA · Clinical Medical Laboratory

$27.8M
10Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$21.0M
11Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$15.3M
12Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$13.8M
131114222817$13.1M
14Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$11.7M
15Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$10.7M
16Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$9.6M
171780620526$9.4M
18Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$8.2M
19Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$7.7M
20Laboratory Corporation Of America

Houston, TX · Clinical Medical Laboratory

$7.5M

Showing top 20 of 220 providers billing this code