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#4813 of 11K

81445

HCPCS Procedure Code

HCPCS code 81445 is the #4,813 most-billed Medicaid procedure code, with $388K in payments across 5K claims from 2018–2024. The national median cost per claim is $79.50.

Total Paid

$388K

0.00% of all spending

Total Claims

5K

Providers

6

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for 81445? Based on 5 providers billing this code nationally.

Median

$79.50

Average

$89.04

Std Dev

$52.42

Max

$176.54

Percentile Distribution (Cost per Claim)

p10
$48.02
p25
$60.13
Median
$79.50
p75
$89.12
p90
$141.57
p95
$159.05
p99
$173.04

50% of providers bill between $60.13 and $89.12 per claim for this code.

90% bill between $48.02 and $141.57.

Top 1% bill above $173.04.

About This Procedure

HCPCS code 81445 was billed by 6 providers across 5K claims, totaling $388K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$79.50

Providers Billing

5

National Spending

$388K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81445

#ProviderTotal Paid
11447437355$224K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$57K
3Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$52K
41609826304$50K
51740733708$6K
61699218172$0

Showing top 6 of 6 providers billing this code