81442
HCPCS Procedure Code
HCPCS code 81442 is the #3,979 most-billed Medicaid procedure code, with $963K in payments across 6K claims from 2018–2024. The national median cost per claim is $216.29. Costs vary widely — the 90th percentile is $992.26 per claim, 4.6× the median.
Total Paid
$963K
0.00% of all spending
Total Claims
6K
Providers
11
Avg Cost/Claim
$156
National Cost Distribution
How much do providers bill per claim for 81442? Based on 6 providers billing this code nationally.
Median
$216.29
Average
$454.55
Std Dev
$422.77
Max
$1,088.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $200.57 and $729.03 per claim for this code.
90% bill between $155.10 and $992.26.
Top 1% bill above $1,078.69.
About This Procedure
HCPCS code 81442 was billed by 11 providers across 6K claims, totaling $963K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$216.29
Providers Billing
6
National Spending
$963K
Avg/Median Ratio
2.10×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 81442
| # | Provider | Total Paid |
|---|---|---|
| 1 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $521K |
| 2 | 1609388842 | $192K |
| 3 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $173K |
| 4 | 1518039486 | $42K |
| 5 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $32K |
| 6 | 1861568784 | $3K |
| 7 | 1467967745 | $0 |
| 8 | 1740715333 | $0 |
| 9 | 1255879763 | $0 |
| 10 | 1689264053 | $0 |
| 11 | 1245835594 | $0 |
Showing top 11 of 11 providers billing this code