81433
HCPCS Procedure Code
HCPCS code 81433 is the #3,072 most-billed Medicaid procedure code, with $2.6M in payments across 38K claims from 2018–2024. The national median cost per claim is $83.95. Costs vary widely — the 90th percentile is $219.84 per claim, 2.6× the median.
Total Paid
$2.6M
0.00% of all spending
Total Claims
38K
Providers
13
Avg Cost/Claim
$68
National Cost Distribution
How much do providers bill per claim for 81433? Based on 13 providers billing this code nationally.
Median
$83.95
Average
$101.81
Std Dev
$92.49
Max
$309.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.38 and $127.21 per claim for this code.
90% bill between $15.64 and $219.84.
Top 1% bill above $298.92.
About This Procedure
HCPCS code 81433 was billed by 13 providers across 38K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$83.95
Providers Billing
13
National Spending
$2.6M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81433
| # | Provider | Total Paid |
|---|---|---|
| 1 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $1.0M |
| 2 | Myriad Genetic Laboratories, Inc. Salt Lake City, UT · Clinical Medical Laboratory | $822K |
| 3 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $310K |
| 4 | 1861568784 | $240K |
| 5 | 1609388842 | $66K |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $63K |
| 7 | 1518713072 | $17K |
| 8 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $15K |
| 9 | 1518415991 | $3K |
| 10 | 1114222817 | $2K |
| 11 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1K |
| 12 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $659 |
| 13 | 1780308262 | $351 |
Showing top 13 of 13 providers billing this code