J2506
HCPCS Procedure Code
HCPCS code J2506 is the #901 most-billed Medicaid procedure code, with $61.2M in payments across 44K claims from 2018–2024. The national median cost per claim is $997.36. Costs vary widely — the 90th percentile is $2,176.22 per claim, 2.2× the median.
Total Paid
$61.2M
0.01% of all spending
Total Claims
44K
Providers
92
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for J2506? Based on 87 providers billing this code nationally.
Median
$997.36
Average
$1,181.17
Std Dev
$939.43
Max
$4,785.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $572.36 and $1,483.79 per claim for this code.
90% bill between $370.35 and $2,176.22.
Top 1% bill above $4,688.35.
About This Procedure
HCPCS code J2506 was billed by 92 providers across 44K claims, totaling $61.2M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.
Fraud Risk Context
Injectable drug codes carry high per-claim costs and have been involved in drug diversion and upcoding schemes.
Source: HHS OIG Reports
Risk Assessment
Billing Statistics
Median Cost/Claim
$997.36
Providers Billing
87
National Spending
$61.2M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2506
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $11.1M |
| 2 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $5.6M |
| 3 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $4.5M |
| 4 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $2.9M |
| 5 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $2.8M |
| 6 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $2.4M |
| 7 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $2.1M |
| 8 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $1.9M |
| 9 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $1.6M |
| 10 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.4M |
| 11 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $1.3M |
| 12 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $1.2M |
| 13 | 1437230034 | $1.2M |
| 14 | Mount Sinai Hospital New York, NY · Ambulance | $1.2M |
| 15 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $1.2M |
| 16 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1.1M |
| 17 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $973K |
| 18 | Riverside Hospital Inc Newport News, VA · Psychiatric Hospital | $963K |
| 19 | 1003989831 | $955K |
| 20 | 1164493847 | $900K |
Showing top 20 of 92 providers billing this code