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#3901 of 11K

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)

p10
$22.77
p25
$38.17
Median
$83.77
p75
$199.47
p90
$295.69
p95
$328.63
p99
$390.37

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

#ProviderTotal Paid
11306952726$98K
21487868097$95K
3State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$91K
4Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$85K
51013960814$70K
6Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$68K
7Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$51K
8Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$44K
91245253582$38K
10Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$36K
111043260474$31K
12Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$28K
131437135902$25K
14Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$24K
15Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$21K
16University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$18K
17Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$18K
18Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$16K
19Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$16K
201881610889$15K

Showing top 20 of 69 providers billing this code