A6545
HCPCS Procedure Code
HCPCS code A6545 is the #2,767 most-billed Medicaid procedure code, with $3.8M in payments across 49K claims from 2018–2024. The national median cost per claim is $70.25. Costs vary widely — the 90th percentile is $182.92 per claim, 2.6× the median.
Total Paid
$3.8M
0.00% of all spending
Total Claims
49K
Providers
49
Avg Cost/Claim
$77
National Cost Distribution
How much do providers bill per claim for A6545? Based on 48 providers billing this code nationally.
Median
$70.25
Average
$84.86
Std Dev
$72.72
Max
$285.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.20 and $104.55 per claim for this code.
90% bill between $18.57 and $182.92.
Top 1% bill above $284.49.
About This Procedure
HCPCS code A6545 was billed by 49 providers across 49K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$70.25
Providers Billing
48
National Spending
$3.8M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6545
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164586103 | $1.5M |
| 2 | 1063710986 | $639K |
| 3 | 1548367063 | $315K |
| 4 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $197K |
| 5 | 1104856806 | $138K |
| 6 | 1225309263 | $132K |
| 7 | 1184716672 | $126K |
| 8 | 1336456193 | $102K |
| 9 | 1558370023 | $87K |
| 10 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $65K |
| 11 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $61K |
| 12 | 1356567580 | $51K |
| 13 | 1508107764 | $44K |
| 14 | 1639128796 | $41K |
| 15 | 1073748943 | $34K |
| 16 | 1043249196 | $28K |
| 17 | 1992892863 | $24K |
| 18 | 1912902552 | $23K |
| 19 | 1164464707 | $22K |
| 20 | 1114037942 | $21K |
Showing top 20 of 49 providers billing this code