1546P
HCPCS Procedure Code
HCPCS code 1546P is the #2,850 most-billed Medicaid procedure code, with $3.3M in payments across 11K claims from 2018–2024. The national median cost per claim is $128.02. Costs vary widely — the 90th percentile is $303.40 per claim, 2.4× the median.
Total Paid
$3.3M
0.00% of all spending
Total Claims
11K
Providers
3
Avg Cost/Claim
$291
National Cost Distribution
How much do providers bill per claim for 1546P? Based on 3 providers billing this code nationally.
Median
$128.02
Average
$199.81
Std Dev
$127.70
Max
$347.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $126.09 and $237.64 per claim for this code.
90% bill between $124.94 and $303.40.
Top 1% bill above $342.87.
About This Procedure
HCPCS code 1546P was billed by 3 providers across 11K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 645 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$128.02
Providers Billing
3
National Spending
$3.3M
Avg/Median Ratio
1.56×
Moderately skewed
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.