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#2865 of 11K

81374

HCPCS Procedure Code

HCPCS code 81374 is the #2,865 most-billed Medicaid procedure code, with $3.3M in payments across 132K claims from 2018–2024. The national median cost per claim is $27.53. Costs vary widely — the 90th percentile is $64.64 per claim, 2.3× the median.

Total Paid

$3.3M

0.00% of all spending

Total Claims

132K

Providers

77

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for 81374? Based on 68 providers billing this code nationally.

Median

$27.53

Average

$32.77

Std Dev

$26.80

Max

$156.07

Percentile Distribution (Cost per Claim)

p10
$4.41
p25
$12.21
Median
$27.53
p75
$47.48
p90
$64.64
p95
$68.74
p99
$110.58

50% of providers bill between $12.21 and $47.48 per claim for this code.

90% bill between $4.41 and $64.64.

Top 1% bill above $110.58.

About This Procedure

HCPCS code 81374 was billed by 77 providers across 132K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 125K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.53

Providers Billing

68

National Spending

$3.3M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81374

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$633K
21437135886$461K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$412K
4Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$331K
5Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$248K
6Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$207K
7Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$139K
81104829159$116K
9University Of Kentucky

Lexington, KY · General Acute Care Hospital

$107K
10Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$98K
11Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$62K
12A2cl Services, Llc

West Allis, WI · Clinical Medical Laboratory

$50K
13Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$50K
14Health Network Laboratories, Llc

Allentown, PA · Clinical Medical Laboratory

$34K
15Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$33K
16Tricore Reference Laboratories

Albuquerque, NM · Clinical Medical Laboratory

$26K
17Laboratory Corporation Of America

Phoenix, AZ · Clinical Medical Laboratory

$23K
18Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$23K
19Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$21K
20Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$19K

Showing top 20 of 77 providers billing this code