81430
HCPCS Procedure Code
HCPCS code 81430 is the #4,467 most-billed Medicaid procedure code, with $570K in payments across 2K claims from 2018–2024. The national median cost per claim is $145.98.
Total Paid
$570K
0.00% of all spending
Total Claims
2K
Providers
5
Avg Cost/Claim
$262
National Cost Distribution
How much do providers bill per claim for 81430? Based on 2 providers billing this code nationally.
Median
$145.98
Average
$145.98
Std Dev
$202.45
Max
$289.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $74.40 and $217.56 per claim for this code.
90% bill between $31.46 and $260.51.
Top 1% bill above $286.27.
About This Procedure
HCPCS code 81430 was billed by 5 providers across 2K claims, totaling $570K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$145.98
Providers Billing
2
National Spending
$570K
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81430
| # | Provider | Total Paid |
|---|---|---|
| 1 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $570K |
| 2 | 1770207607 | $65 |
| 3 | 1568868446 | $0 |
| 4 | 1215055256 | $0 |
| 5 | 1275292294 | $0 |
Showing top 5 of 5 providers billing this code