81436
HCPCS Procedure Code
HCPCS code 81436 is the #4,198 most-billed Medicaid procedure code, with $757K in payments across 3K claims from 2018–2024. The national median cost per claim is $163.03. Costs vary widely — the 90th percentile is $551.18 per claim, 3.4× the median.
Total Paid
$757K
0.00% of all spending
Total Claims
3K
Providers
10
Avg Cost/Claim
$219
National Cost Distribution
How much do providers bill per claim for 81436? Based on 9 providers billing this code nationally.
Median
$163.03
Average
$287.66
Std Dev
$326.40
Max
$1,062.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $77.61 and $411.60 per claim for this code.
90% bill between $40.32 and $551.18.
Top 1% bill above $1,011.01.
About This Procedure
HCPCS code 81436 was billed by 10 providers across 3K claims, totaling $757K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$163.03
Providers Billing
9
National Spending
$757K
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81436
| # | Provider | Total Paid |
|---|---|---|
| 1 | Myriad Genetic Laboratories, Inc. Salt Lake City, UT · Clinical Medical Laboratory | $387K |
| 2 | 1700512365 | $139K |
| 3 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $77K |
| 4 | 1780308262 | $49K |
| 5 | 1861568784 | $47K |
| 6 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $43K |
| 7 | 1588004410 | $10K |
| 8 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $5K |
| 9 | 1639577091 | $34 |
| 10 | 1740715333 | $0 |
Showing top 10 of 10 providers billing this code