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#8869 of 11K

43753

HCPCS Procedure Code

HCPCS code 43753 is the #8,869 most-billed Medicaid procedure code, with $923 in payments across 223 claims from 2018–2024. The national median cost per claim is $4.43. Costs vary widely — the 90th percentile is $27.02 per claim, 6.1× the median.

Total Paid

$923

0.00% of all spending

Total Claims

223

Providers

3

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 43753? Based on 3 providers billing this code nationally.

Median

$4.43

Average

$12.64

Std Dev

$17.44

Max

$32.67

Percentile Distribution (Cost per Claim)

p10
$1.55
p25
$2.63
Median
$4.43
p75
$18.55
p90
$27.02
p95
$29.84
p99
$32.10

50% of providers bill between $2.63 and $18.55 per claim for this code.

90% bill between $1.55 and $27.02.

Top 1% bill above $32.10.

About This Procedure

HCPCS code 43753 was billed by 3 providers across 223 claims, totaling $923 in Medicaid payments from 2018–2024. This code was used for 221 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.43

Providers Billing

3

National Spending

$923

Avg/Median Ratio

2.85×

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.