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#2580 of 11K

80177

HCPCS Procedure Code

HCPCS code 80177 is the #2,580 most-billed Medicaid procedure code, with $4.9M in payments across 848K claims from 2018–2024. The national median cost per claim is $6.09. Costs vary widely — the 90th percentile is $12.56 per claim, 2.1× the median.

Total Paid

$4.9M

0.00% of all spending

Total Claims

848K

Providers

593

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 80177? Based on 561 providers billing this code nationally.

Median

$6.09

Average

$7.81

Std Dev

$10.73

Max

$155.64

Percentile Distribution (Cost per Claim)

p10
$1.33
p25
$3.42
Median
$6.09
p75
$10.01
p90
$12.56
p95
$15.39
p99
$36.77

50% of providers bill between $3.42 and $10.01 per claim for this code.

90% bill between $1.33 and $12.56.

Top 1% bill above $36.77.

About This Procedure

HCPCS code 80177 was billed by 593 providers across 848K claims, totaling $4.9M in Medicaid payments from 2018–2024. This code was used for 731K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.09

Providers Billing

561

National Spending

$4.9M

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80177

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$667K
21790101681$187K
3Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$109K
41447296272$100K
5Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$91K
6Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$88K
7Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$77K
81740361690$76K
9Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$76K
101609273317$72K
111295823540$72K
121093749087$69K
13Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$67K
14Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$66K
15Lifescan Labs Of Illinois Llc

Skokie, IL · Clinical Medical Laboratory

$65K
161659373900$65K
171811997711$63K
18Centers Lab Nj Llc

Cedar Knolls, NJ · Clinical Medical Laboratory

$62K
19Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$58K
20Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$56K

Showing top 20 of 593 providers billing this code