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#5181 of 11K

80173

HCPCS Procedure Code

HCPCS code 80173 is the #5,181 most-billed Medicaid procedure code, with $269K in payments across 21K claims from 2018–2024. The national median cost per claim is $8.13.

Total Paid

$269K

0.00% of all spending

Total Claims

21K

Providers

13

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 80173? Based on 13 providers billing this code nationally.

Median

$8.13

Average

$7.74

Std Dev

$4.05

Max

$13.92

Percentile Distribution (Cost per Claim)

p10
$2.05
p25
$6.98
Median
$8.13
p75
$9.75
p90
$12.92
p95
$13.76
p99
$13.89

50% of providers bill between $6.98 and $9.75 per claim for this code.

90% bill between $2.05 and $12.92.

Top 1% bill above $13.89.

About This Procedure

HCPCS code 80173 was billed by 13 providers across 21K claims, totaling $269K in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.13

Providers Billing

13

National Spending

$269K

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80173

#ProviderTotal Paid
11871960195$153K
21609273317$80K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$12K
4Premier Biotech Labs Llc

Minneapolis, MN · Clinical Medical Laboratory

$10K
51962903575$7K
6Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$4K
71750364345$844
81487639381$302
91073859930$136
101558755496$120
111548370745$62
12Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$21
131952876203$11

Showing top 13 of 13 providers billing this code