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#6929 of 11K

76978

HCPCS Procedure Code

HCPCS code 76978 is the #6,929 most-billed Medicaid procedure code, with $36K in payments across 174 claims from 2018–2024. The national median cost per claim is $236.14.

Total Paid

$36K

0.00% of all spending

Total Claims

174

Providers

4

Avg Cost/Claim

$207

National Cost Distribution

How much do providers bill per claim for 76978? Based on 4 providers billing this code nationally.

Median

$236.14

Average

$278.54

Std Dev

$186.16

Max

$528.78

Percentile Distribution (Cost per Claim)

p10
$128.39
p25
$151.37
Median
$236.14
p75
$363.31
p90
$462.60
p95
$495.69
p99
$522.17

50% of providers bill between $151.37 and $363.31 per claim for this code.

90% bill between $128.39 and $462.60.

Top 1% bill above $522.17.

About This Procedure

HCPCS code 76978 was billed by 4 providers across 174 claims, totaling $36K in Medicaid payments from 2018–2024. This code was used for 164 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$236.14

Providers Billing

4

National Spending

$36K

Avg/Median Ratio

1.18×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.