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)
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.