#2233 of 11K

81432

HCPCS Procedure Code

HCPCS code 81432 is the #2,233 most-billed Medicaid procedure code, with $7.6M in payments across 45K claims from 2018–2024. The national median cost per claim is $144.71. Costs vary widely — the 90th percentile is $392.80 per claim, 2.7× the median.

Total Paid

$7.6M

0.00% of all spending

Total Claims

45K

Providers

Avg Cost/Claim

$167

National Cost Distribution

How much do providers bill per claim for 81432? Based on 23 providers billing this code nationally.

Median

$144.71

Average

$199.54

Std Dev

$164.72

Max

$673.13

Percentile Distribution (Cost per Claim)

p10

$42.30

p25

$95.66

Median

$144.71

p75

$262.96

p90

$392.80

p95

$493.98

p99

$636.05

50% of providers bill between $95.66 and $262.96 per claim for this code.

90% bill between $42.30 and $392.80.

Top 1% bill above $636.05.

About This Procedure

HCPCS code 81432 was billed by 25 providers across 45K claims, totaling $7.6M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$144.71

Providers Billing

National Spending

$7.6M

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81432

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Natera Inc. San Carlos, CA · Clinical Medical Laboratory	$2.7M	$103.67	0.7× median	Below Median
2	1316311863	$1.8M	$673.13	4.7× median	Top 1%
3	Myriad Genetic Laboratories, Inc. Salt Lake City, UT · Clinical Medical Laboratory	$1.2M	$291.17	2.0× median	Above 75th
4	Invitae Corporation San Francisco, CA · Clinical Medical Laboratory	$642K	$111.28	0.8× median	Below Median
5	1861568784	$479K	$171.23	1.2× median	Above Median
6	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$275K	$219.66	1.5× median	Above Median
7	1689971822	$107K	$353.69	2.4× median	Above 75th
8	Crestar Labs Llc Spring Hill, TN · Clinical Medical Laboratory	$85K	$234.76	1.6× median	Above Median
9	1902347891	$82K	$369.72	2.6× median	Above 75th
10	Speciality Screening Llc Wauwatosa, WI · Clinical Medical Laboratory	$56K	$504.58	3.5× median	Top 10%
11	1780308262	$53K	$398.57	2.8× median	Top 10%
12	1740733708	$30K	$144.71	1.0× median	Above Median
13	Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory	$21K	$182.03	1.3× median	Above Median
14	1619232204	$19K	$39.09	0.3× median	Below Median
15	1518713072	$11K	$147.45	1.0× median	Above Median
16	1518415991	$10K	$55.17	0.4× median	Below Median
17	1275971707	$6K	$30.61	0.2× median	Below Median
18	Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics	$5K	$68.91	0.5× median	Below Median
19	1548611593	$4K	$125.75	0.9× median	Below Median
20	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$4K	$114.36	0.8× median	Below Median

Showing top 20 of 25 providers billing this code

Related Procedures

81422$17.7M 81425$3.0M 81433$2.6M 81426$2.0M 81435$1.0M

← All procedures Top providers →