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#7574 of 11K

46505

HCPCS Procedure Code

HCPCS code 46505 is the #7,574 most-billed Medicaid procedure code, with $14K in payments across 87 claims from 2018–2024. The national median cost per claim is $130.74.

Total Paid

$14K

0.00% of all spending

Total Claims

87

Providers

3

Avg Cost/Claim

$162

National Cost Distribution

How much do providers bill per claim for 46505? Based on 3 providers billing this code nationally.

Median

$130.74

Average

$144.37

Std Dev

$61.74

Max

$211.78

Percentile Distribution (Cost per Claim)

p10
$98.61
p25
$110.66
Median
$130.74
p75
$171.26
p90
$195.57
p95
$203.68
p99
$210.16

50% of providers bill between $110.66 and $171.26 per claim for this code.

90% bill between $98.61 and $195.57.

Top 1% bill above $210.16.

About This Procedure

HCPCS code 46505 was billed by 3 providers across 87 claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 85 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$130.74

Providers Billing

3

National Spending

$14K

Avg/Median Ratio

1.10×

Normal distribution

Provider Coverage

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

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