40806
HCPCS Procedure Code
HCPCS code 40806 is the #5,468 most-billed Medicaid procedure code, with $193K in payments across 1,776 claims from 2018–2024. The national median cost per claim is $32.95. Costs vary widely — the 90th percentile is $106.33 per claim, 3.2× the median.
Total Paid
$193K
0.00% of all spending
Total Claims
1,776
Providers
12
Avg Cost/Claim
$109
National Cost Distribution
How much do providers bill per claim for 40806? Based on 12 providers billing this code nationally.
Median
$32.95
Average
$125.38
Std Dev
$313.84
Max
$1,117.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.00 and $45.88 per claim for this code.
90% bill between $10.37 and $106.33.
Top 1% bill above $1,007.29.
About This Procedure
HCPCS code 40806 was billed by 12 providers across 1,776 claims, totaling $193K in Medicaid payments from 2018–2024. This code was used for 1,406 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$32.95
Providers Billing
12
National Spending
$193K
Avg/Median Ratio
3.81×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 40806
| # | Provider | Total Paid |
|---|---|---|
| 1 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $139K |
| 2 | 1629263181 | $34K |
| 3 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $8K |
| 4 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $5K |
| 5 | 1124464995 | $3K |
| 6 | 1154636066 | $1K |
| 7 | 1265417174 | $825 |
| 8 | 1730939232 | $512 |
| 9 | 1184123150 | $474 |
| 10 | Vanderbilt University Medical Center Nashville, TN · Psychiatric Unit | $438 |
| 11 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $231 |
| 12 | 1841328853 | $145 |
Showing top 12 of 12 providers billing this code