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#1378 of 11K

81507

HCPCS Procedure Code

HCPCS code 81507 is the #1,378 most-billed Medicaid procedure code, with $25.1M in payments across 85K claims from 2018–2024. The national median cost per claim is $330.03.

Total Paid

$25.1M

0.00% of all spending

Total Claims

85K

Providers

26

Avg Cost/Claim

$295

National Cost Distribution

How much do providers bill per claim for 81507? Based on 25 providers billing this code nationally.

Median

$330.03

Average

$369.62

Std Dev

$235.16

Max

$932.29

Percentile Distribution (Cost per Claim)

p10
$56.21
p25
$213.66
Median
$330.03
p75
$553.48
p90
$627.21
p95
$644.27
p99
$864.18

50% of providers bill between $213.66 and $553.48 per claim for this code.

90% bill between $56.21 and $627.21.

Top 1% bill above $864.18.

About This Procedure

HCPCS code 81507 was billed by 26 providers across 85K claims, totaling $25.1M in Medicaid payments from 2018–2024. This code was used for 78K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$330.03

Providers Billing

25

National Spending

$25.1M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81507

#ProviderTotal Paid
11366720906$10.3M
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$6.2M
3Natera Inc.

San Carlos, CA · Clinical Medical Laboratory

$3.0M
41063892396$1.7M
51992375000$1.3M
61316322035$567K
71659817849$419K
8Kaiser Foundation Health Plan Of The Northwest

Portland, OR · General Practice

$363K
9Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$354K
10Upmc Magee-womens Hospital

Pittsburgh, PA · General Acute Care Hospital

$249K
11Myriad Women's Health, Inc.

South San Francisco, CA · Clinical Medical Laboratory

$208K
121639426281$110K
131174517353$74K
14Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$71K
15Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$69K
161013924372$50K
17Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$27K
18University Of Rochester

Rochester, NY · General Acute Care Hospital

$16K
191407877137$16K
201730708215$9K

Showing top 20 of 26 providers billing this code