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#1014 of 11K

87150

HCPCS Procedure Code

HCPCS code 87150 is the #1,014 most-billed Medicaid procedure code, with $48.2M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $25.98. Costs vary widely — the 90th percentile is $84.43 per claim, 3.2× the median.

Total Paid

$48.2M

0.00% of all spending

Total Claims

1.6M

Providers

631

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for 87150? Based on 569 providers billing this code nationally.

Median

$25.98

Average

$39.16

Std Dev

$55.22

Max

$436.99

Percentile Distribution (Cost per Claim)

p10
$1.95
p25
$11.23
Median
$25.98
p75
$40.36
p90
$84.43
p95
$158.57
p99
$254.54

50% of providers bill between $11.23 and $40.36 per claim for this code.

90% bill between $1.95 and $84.43.

Top 1% bill above $254.54.

About This Procedure

HCPCS code 87150 was billed by 631 providers across 1.6M claims, totaling $48.2M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.98

Providers Billing

569

National Spending

$48.2M

Avg/Median Ratio

1.51×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 87150

#ProviderTotal Paid
1Physicians Group Laboratories, Llc

Houma, LA · Clinical Medical Laboratory

$12.4M
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$4.6M
31225316482$3.0M
4Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$2.3M
5Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$2.0M
61720409154$1.7M
71265418669$1.2M
8Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$1.2M
9Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$1.0M
101467066860$869K
111245275106$833K
12Medarbor Llc

Bristol, PA · Clinical Medical Laboratory

$785K
13Laboratory Corporation Of America

Houston, TX · Clinical Medical Laboratory

$769K
141043271539$703K
151598747651$639K
161346648870$558K
17Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$473K
181477549756$468K
19Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$420K
201962463786$389K

Showing top 20 of 631 providers billing this code