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#7413 of 11K

11426

HCPCS Procedure Code

HCPCS code 11426 is the #7,413 most-billed Medicaid procedure code, with $19K in payments across 658 claims from 2018–2024. The national median cost per claim is $165.11.

Total Paid

$19K

0.00% of all spending

Total Claims

658

Providers

3

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for 11426? Based on 3 providers billing this code nationally.

Median

$165.11

Average

$113.81

Std Dev

$90.85

Max

$167.41

Percentile Distribution (Cost per Claim)

p10
$40.16
p25
$87.01
Median
$165.11
p75
$166.26
p90
$166.95
p95
$167.18
p99
$167.36

50% of providers bill between $87.01 and $166.26 per claim for this code.

90% bill between $40.16 and $166.95.

Top 1% bill above $167.36.

About This Procedure

HCPCS code 11426 was billed by 3 providers across 658 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 642 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$165.11

Providers Billing

3

National Spending

$19K

Avg/Median Ratio

0.69×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.