81206
HCPCS Procedure Code
HCPCS code 81206 is the #2,833 most-billed Medicaid procedure code, with $3.4M in payments across 75K claims from 2018–2024. The national median cost per claim is $54.90. Costs vary widely — the 90th percentile is $123.91 per claim, 2.3× the median.
Total Paid
$3.4M
0.00% of all spending
Total Claims
75K
Providers
93
Avg Cost/Claim
$46
National Cost Distribution
How much do providers bill per claim for 81206? Based on 87 providers billing this code nationally.
Median
$54.90
Average
$67.31
Std Dev
$47.18
Max
$235.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.61 and $96.32 per claim for this code.
90% bill between $16.40 and $123.91.
Top 1% bill above $232.16.
About This Procedure
HCPCS code 81206 was billed by 93 providers across 75K claims, totaling $3.4M in Medicaid payments from 2018–2024. This code was used for 68K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.90
Providers Billing
87
National Spending
$3.4M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81206
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $360K |
| 2 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $247K |
| 3 | 1447437355 | $225K |
| 4 | 1740733708 | $216K |
| 5 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $198K |
| 6 | 1740460583 | $164K |
| 7 | 1013973866 | $144K |
| 8 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $119K |
| 9 | 1780620526 | $106K |
| 10 | 1124269717 | $105K |
| 11 | 1871615708 | $101K |
| 12 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $95K |
| 13 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $87K |
| 14 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $78K |
| 15 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $74K |
| 16 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $70K |
| 17 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $66K |
| 18 | 1467433292 | $60K |
| 19 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $59K |
| 20 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $53K |
Showing top 20 of 93 providers billing this code