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#6952 of 11K

43752

HCPCS Procedure Code

HCPCS code 43752 is the #6,952 most-billed Medicaid procedure code, with $35K in payments across 1,297 claims from 2018–2024. The national median cost per claim is $68.26. Costs vary widely — the 90th percentile is $370.31 per claim, 5.4× the median.

Total Paid

$35K

0.00% of all spending

Total Claims

1,297

Providers

3

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for 43752? Based on 3 providers billing this code nationally.

Median

$68.26

Average

$177.82

Std Dev

$233.37

Max

$445.82

Percentile Distribution (Cost per Claim)

p10
$29.17
p25
$43.83
Median
$68.26
p75
$257.04
p90
$370.31
p95
$408.06
p99
$438.27

50% of providers bill between $43.83 and $257.04 per claim for this code.

90% bill between $29.17 and $370.31.

Top 1% bill above $438.27.

About This Procedure

HCPCS code 43752 was billed by 3 providers across 1,297 claims, totaling $35K in Medicaid payments from 2018–2024. This code was used for 958 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.26

Providers Billing

3

National Spending

$35K

Avg/Median Ratio

2.61×

Highly skewed — outlier-driven

Provider Coverage

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