#4477 of 11K

A6450

HCPCS Procedure Code

HCPCS code A6450 is the #4,477 most-billed Medicaid procedure code, with $561K in payments across 23K claims from 2018–2024. The national median cost per claim is $14.49. Costs vary widely — the 90th percentile is $47.40 per claim, 3.3× the median.

Total Paid

$561K

0.00% of all spending

Total Claims

23K

Providers

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for A6450? Based on 34 providers billing this code nationally.

Median

$14.49

Average

$21.39

Std Dev

$19.00

Max

$81.70

Percentile Distribution (Cost per Claim)

p10

$2.97

p25

$6.47

Median

$14.49

p75

$30.94

p90

$47.40

p95

$51.45

p99

$73.78

50% of providers bill between $6.47 and $30.94 per claim for this code.

90% bill between $2.97 and $47.40.

Top 1% bill above $73.78.

About This Procedure

HCPCS code A6450 was billed by 37 providers across 23K claims, totaling $561K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.49

Providers Billing

National Spending

$561K

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6450

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$115K	$22.27	1.5× median	Above Median
2	Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies	$101K	$81.70	5.6× median	Top 1%
3	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$54K	$31.63	2.2× median	Above 75th
4	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$44K	$27.52	1.9× median	Above Median
5	1710932173	$40K	$26.49	1.8× median	Above Median
6	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$34K	$28.86	2.0× median	Above Median
7	1548367063	$32K	$22.54	1.6× median	Above Median
8	1730174764	$29K	$47.43	3.3× median	Top 10%
9	1427139641	$23K	$47.34	3.3× median	Above 75th
10	1649244138	$21K	$17.15	1.2× median	Above Median
11	1346295953	$14K	$36.11	2.5× median	Above 75th
12	1730397175	$13K	$7.01	0.5× median	Below Median
13	1023438538	$13K	$34.07	2.4× median	Above 75th
14	1376916379	$4K	$3.70	0.3× median	Below Median
15	1073849667	$4K	$11.38	0.8× median	Below Median
16	1023063641	$4K	$11.51	0.8× median	Below Median
17	1699703959	$3K	$5.95	0.4× median	Below Median
18	1558586438	$3K	$5.74	0.4× median	Below Median
19	1164553863	$2K	$18.85	1.3× median	Above Median
20	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$2K	$11.83	0.8× median	Below Median

Showing top 20 of 37 providers billing this code

Related Procedures

A6446$18.9M A6449$6.3M A6454$2.8M A6452$2.2M A6457$1.8M

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