#4363 of 11K

76706

HCPCS Procedure Code

HCPCS code 76706 is the #4,363 most-billed Medicaid procedure code, with $634K in payments across 12K claims from 2018–2024. The national median cost per claim is $44.93. Costs vary widely — the 90th percentile is $117.50 per claim, 2.6× the median.

Total Paid

$634K

0.00% of all spending

Total Claims

12K

Providers

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for 76706? Based on 52 providers billing this code nationally.

Median

$44.93

Average

$54.50

Std Dev

$47.54

Max

$204.11

Percentile Distribution (Cost per Claim)

p10

$7.26

p25

$19.18

Median

$44.93

p75

$65.54

p90

$117.50

p95

$148.71

p99

$204.00

50% of providers bill between $19.18 and $65.54 per claim for this code.

90% bill between $7.26 and $117.50.

Top 1% bill above $204.00.

About This Procedure

HCPCS code 76706 was billed by 62 providers across 12K claims, totaling $634K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.93

Providers Billing

National Spending

$634K

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76706

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1760626477	$315K	$62.17	1.4× median	Above Median
2	1164627295	$51K	$60.53	1.3× median	Above Median
3	Hmh Hospitals Corporation Edison, NJ · General Acute Care Hospital	$34K	$51.78	1.2× median	Above Median
4	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$31K	$39.28	0.9× median	Below Median
5	Southern California Permanente Medical Group Fontana, CA · Health Maintenance Organization	$27K	$163.98	3.6× median	Top 10%
6	1548538200	$14K	$43.29	1.0× median	Below Median
7	Southern California Permanente Medical Group Anaheim, CA · Health Maintenance Organization	$14K	$204.11	4.5× median	Top 1%
8	1104096015	$13K	$32.50	0.7× median	Below Median
9	1689752032	$13K	$61.44	1.4× median	Above Median
10	Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization	$13K	$136.22	3.0× median	Top 10%
11	Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization	$12K	$67.00	1.5× median	Above 75th
12	1982689113	$11K	$52.27	1.2× median	Above Median
13	1891750543	$11K	$63.21	1.4× median	Above Median
14	1225685332	$10K	$84.60	1.9× median	Above 75th
15	1982863783	$6K	$203.89	4.5× median	Top 10%
16	1144256439	$5K	$45.83	1.0× median	Above Median
17	1598795205	$5K	$21.32	0.5× median	Below Median
18	1124170493	$4K	$47.28	1.1× median	Above Median
19	1548305584	$4K	$37.50	0.8× median	Below Median
20	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$4K	$41.17	0.9× median	Below Median

Showing top 20 of 62 providers billing this code

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