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#3893 of 11K

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)

p10
$58.93
p25
$101.56
Median
$174.48
p75
$417.52
p90
$453.42
p95
$702.17
p99
$901.17

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

#ProviderTotal Paid
1Myriad Genetic Laboratories, Inc.

Salt Lake City, UT · Clinical Medical Laboratory

$553K
2Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$169K
31316311863$133K
41861568784$67K
5Natera Inc.

San Carlos, CA · Clinical Medical Laboratory

$54K
61780308262$49K
71588004410$10K
8Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$5K
91437599164$4K
101609388842$1K
111639577091$34
121740715333$0
131760874796$0
141659726487$0
151336598325$0
161700329901$0

Showing top 16 of 16 providers billing this code