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#3928 of 11K

81450

HCPCS Procedure Code

HCPCS code 81450 is the #3,928 most-billed Medicaid procedure code, with $1.0M in payments across 10K claims from 2018–2024. The national median cost per claim is $86.48. Costs vary widely — the 90th percentile is $235.36 per claim, 2.7× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

10K

Providers

20

Avg Cost/Claim

$96

National Cost Distribution

How much do providers bill per claim for 81450? Based on 17 providers billing this code nationally.

Median

$86.48

Average

$131.54

Std Dev

$130.34

Max

$538.26

Percentile Distribution (Cost per Claim)

p10
$29.05
p25
$62.13
Median
$86.48
p75
$179.73
p90
$235.36
p95
$353.13
p99
$501.24

50% of providers bill between $62.13 and $179.73 per claim for this code.

90% bill between $29.05 and $235.36.

Top 1% bill above $501.24.

About This Procedure

HCPCS code 81450 was billed by 20 providers across 10K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$86.48

Providers Billing

17

National Spending

$1.0M

Avg/Median Ratio

1.52×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 81450

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$321K
21447437355$189K
3Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$146K
41871615708$115K
5Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$69K
61740240753$53K
71699115857$30K
8Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$27K
91124536107$24K
10Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$10K
11Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$10K
12Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$5K
13Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$4K
141811955917$3K
151780653618$2K
161548315401$1K
17Siparadigm Llc

Pine Brook, NJ · Clinical Medical Laboratory

$29
18Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$0
19Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$0
201184775132$0

Showing top 20 of 20 providers billing this code