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#4467 of 11K

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)

p10
$31.46
p25
$74.40
Median
$145.98
p75
$217.56
p90
$260.51
p95
$274.82
p99
$286.27

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

#ProviderTotal Paid
1Genedx Llc

Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics

$570K
21770207607$65
31568868446$0
41215055256$0
51275292294$0

Showing top 5 of 5 providers billing this code