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#3862 of 11K

81173

HCPCS Procedure Code

HCPCS code 81173 is the #3,862 most-billed Medicaid procedure code, with $1.1M in payments across 18K claims from 2018–2024. The national median cost per claim is $57.24.

Total Paid

$1.1M

0.00% of all spending

Total Claims

18K

Providers

3

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for 81173? Based on 3 providers billing this code nationally.

Median

$57.24

Average

$74.44

Std Dev

$31.11

Max

$110.35

Percentile Distribution (Cost per Claim)

p10
$56.03
p25
$56.48
Median
$57.24
p75
$83.80
p90
$99.73
p95
$105.04
p99
$109.29

50% of providers bill between $56.48 and $83.80 per claim for this code.

90% bill between $56.03 and $99.73.

Top 1% bill above $109.29.

About This Procedure

HCPCS code 81173 was billed by 3 providers across 18K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$57.24

Providers Billing

3

National Spending

$1.1M

Avg/Median Ratio

1.30×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.