81443
HCPCS Procedure Code
HCPCS code 81443 is the #983 most-billed Medicaid procedure code, with $51.5M in payments across 156K claims from 2018–2024. The national median cost per claim is $309.20. Costs vary widely — the 90th percentile is $1,936.81 per claim, 6.3× the median.
Total Paid
$51.5M
0.00% of all spending
Total Claims
156K
Providers
41
Avg Cost/Claim
$330
National Cost Distribution
How much do providers bill per claim for 81443? Based on 31 providers billing this code nationally.
Median
$309.20
Average
$598.43
Std Dev
$668.86
Max
$2,179.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $135.88 and $670.32 per claim for this code.
90% bill between $45.01 and $1,936.81.
Top 1% bill above $2,130.78.
About This Procedure
HCPCS code 81443 was billed by 41 providers across 156K claims, totaling $51.5M in Medicaid payments from 2018–2024. This code was used for 137K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$309.20
Providers Billing
31
National Spending
$51.5M
Avg/Median Ratio
1.94×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81443
| # | Provider | Total Paid |
|---|---|---|
| 1 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $25.1M |
| 2 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $9.5M |
| 3 | 1114222817 | $4.1M |
| 4 | 1780620526 | $2.2M |
| 5 | 1063892396 | $2.1M |
| 6 | 1316311863 | $1.8M |
| 7 | 1235528225 | $1.4M |
| 8 | Speciality Screening Llc Wauwatosa, WI · Clinical Medical Laboratory | $1.1M |
| 9 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $764K |
| 10 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $699K |
| 11 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $572K |
| 12 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $362K |
| 13 | 1689975021 | $313K |
| 14 | 1891731626 | $272K |
| 15 | 1063619922 | $223K |
| 16 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $218K |
| 17 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $182K |
| 18 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $174K |
| 19 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $119K |
| 20 | 1437599164 | $105K |
Showing top 20 of 41 providers billing this code