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#1305 of 11K

76870

HCPCS Procedure Code

HCPCS code 76870 is the #1,305 most-billed Medicaid procedure code, with $28.1M in payments across 556K claims from 2018–2024. The national median cost per claim is $34.90. Costs vary widely — the 90th percentile is $98.38 per claim, 2.8× the median.

Total Paid

$28.1M

0.00% of all spending

Total Claims

556K

Providers

1,273

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for 76870? Based on 1,249 providers billing this code nationally.

Median

$34.90

Average

$49.00

Std Dev

$42.37

Max

$505.58

Percentile Distribution (Cost per Claim)

p10
$12.24
p25
$20.29
Median
$34.90
p75
$69.27
p90
$98.38
p95
$119.79
p99
$190.12

50% of providers bill between $20.29 and $69.27 per claim for this code.

90% bill between $12.24 and $98.38.

Top 1% bill above $190.12.

About This Procedure

HCPCS code 76870 was billed by 1,273 providers across 556K claims, totaling $28.1M in Medicaid payments from 2018–2024. This code was used for 525K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.90

Providers Billing

1,249

National Spending

$28.1M

Avg/Median Ratio

1.40×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76870

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$956K
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$452K
3United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$435K
4Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$415K
51649726738$403K
6Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$369K
7Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$367K
8Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$346K
9Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$320K
10Children's Hospital Corporation

Boston, MA · Clinic/Center

$285K
11Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$282K
12Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$275K
13Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$275K
14Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$272K
15Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$270K
16Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$263K
171740283324$235K
18Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$227K
19Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$224K
20Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$220K

Showing top 20 of 1,273 providers billing this code

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