43760
HCPCS Procedure Code
HCPCS code 43760 is the #3,901 most-billed Medicaid procedure code, with $1.0M in payments across 9,428 claims from 2018–2024. The national median cost per claim is $83.77. Costs vary widely — the 90th percentile is $295.69 per claim, 3.5× the median.
Total Paid
$1.0M
0.00% of all spending
Total Claims
9,428
Providers
69
Avg Cost/Claim
$110
National Cost Distribution
How much do providers bill per claim for 43760? Based on 68 providers billing this code nationally.
Median
$83.77
Average
$126.33
Std Dev
$110.59
Max
$463.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.17 and $199.47 per claim for this code.
90% bill between $22.77 and $295.69.
Top 1% bill above $390.37.
About This Procedure
HCPCS code 43760 was billed by 69 providers across 9,428 claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 8,329 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$83.77
Providers Billing
68
National Spending
$1.0M
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 43760
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1306952726 | $98K |
| 2 | 1487868097 | $95K |
| 3 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $91K |
| 4 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $85K |
| 5 | 1013960814 | $70K |
| 6 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $68K |
| 7 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $51K |
| 8 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $44K |
| 9 | 1245253582 | $38K |
| 10 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $36K |
| 11 | 1043260474 | $31K |
| 12 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $28K |
| 13 | 1437135902 | $25K |
| 14 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $24K |
| 15 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $21K |
| 16 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $18K |
| 17 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $18K |
| 18 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $16K |
| 19 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $16K |
| 20 | 1881610889 | $15K |
Showing top 20 of 69 providers billing this code