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#5966 of 11K

46606

HCPCS Procedure Code

HCPCS code 46606 is the #5,966 most-billed Medicaid procedure code, with $113K in payments across 1,650 claims from 2018–2024. The national median cost per claim is $39.75. Costs vary widely — the 90th percentile is $138.52 per claim, 3.5× the median.

Total Paid

$113K

0.00% of all spending

Total Claims

1,650

Providers

7

Avg Cost/Claim

$69

National Cost Distribution

How much do providers bill per claim for 46606? Based on 7 providers billing this code nationally.

Median

$39.75

Average

$68.01

Std Dev

$63.99

Max

$193.32

Percentile Distribution (Cost per Claim)

p10
$19.83
p25
$22.56
Median
$39.75
p75
$90.70
p90
$138.52
p95
$165.92
p99
$187.84

50% of providers bill between $22.56 and $90.70 per claim for this code.

90% bill between $19.83 and $138.52.

Top 1% bill above $187.84.

About This Procedure

HCPCS code 46606 was billed by 7 providers across 1,650 claims, totaling $113K in Medicaid payments from 2018–2024. This code was used for 1,207 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.75

Providers Billing

7

National Spending

$113K

Avg/Median Ratio

1.71×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 46606

#ProviderTotal Paid
11982793410$73K
21225033020$19K
31801874573$11K
41730139361$5K
51245313972$3K
61568439081$2K
71881644409$775

Showing top 7 of 7 providers billing this code