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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1366720906 | $10.3M |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $6.2M |
| 3 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $3.0M |
| 4 | 1063892396 | $1.7M |
| 5 | 1992375000 | $1.3M |
| 6 | 1316322035 | $567K |
| 7 | 1659817849 | $419K |
| 8 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $363K |
| 9 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $354K |
| 10 | Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital | $249K |
| 11 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $208K |
| 12 | 1639426281 | $110K |
| 13 | 1174517353 | $74K |
| 14 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $71K |
| 15 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $69K |
| 16 | 1013924372 | $50K |
| 17 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $27K |
| 18 | University Of Rochester Rochester, NY · General Acute Care Hospital | $16K |
| 19 | 1407877137 | $16K |
| 20 | 1730708215 | $9K |
Showing top 20 of 26 providers billing this code