81435
HCPCS Procedure Code
HCPCS code 81435 is the #3,893 most-billed Medicaid procedure code, with $1.0M in payments across 4K claims from 2018–2024. The national median cost per claim is $174.48. Costs vary widely — the 90th percentile is $453.42 per claim, 2.6× the median.
Total Paid
$1.0M
0.00% of all spending
Total Claims
4K
Providers
16
Avg Cost/Claim
$250
National Cost Distribution
How much do providers bill per claim for 81435? Based on 11 providers billing this code nationally.
Median
$174.48
Average
$290.90
Std Dev
$272.04
Max
$950.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $101.56 and $417.52 per claim for this code.
90% bill between $58.93 and $453.42.
Top 1% bill above $901.17.
About This Procedure
HCPCS code 81435 was billed by 16 providers across 4K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$174.48
Providers Billing
11
National Spending
$1.0M
Avg/Median Ratio
1.67×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81435
| # | Provider | Total Paid |
|---|---|---|
| 1 | Myriad Genetic Laboratories, Inc. Salt Lake City, UT · Clinical Medical Laboratory | $553K |
| 2 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $169K |
| 3 | 1316311863 | $133K |
| 4 | 1861568784 | $67K |
| 5 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $54K |
| 6 | 1780308262 | $49K |
| 7 | 1588004410 | $10K |
| 8 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $5K |
| 9 | 1437599164 | $4K |
| 10 | 1609388842 | $1K |
| 11 | 1639577091 | $34 |
| 12 | 1740715333 | $0 |
| 13 | 1760874796 | $0 |
| 14 | 1659726487 | $0 |
| 15 | 1336598325 | $0 |
| 16 | 1700329901 | $0 |
Showing top 16 of 16 providers billing this code