81509
HCPCS Procedure Code
HCPCS code 81509 is the #4,941 most-billed Medicaid procedure code, with $345K in payments across 3K claims from 2018–2024. The national median cost per claim is $128.98.
Total Paid
$345K
0.00% of all spending
Total Claims
3K
Providers
4
Avg Cost/Claim
$99
National Cost Distribution
How much do providers bill per claim for 81509? Based on 4 providers billing this code nationally.
Median
$128.98
Average
$127.62
Std Dev
$75.05
Max
$212.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $82.67 and $173.93 per claim for this code.
90% bill between $57.17 and $196.99.
Top 1% bill above $210.83.
About This Procedure
HCPCS code 81509 was billed by 4 providers across 3K claims, totaling $345K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$128.98
Providers Billing
4
National Spending
$345K
Avg/Median Ratio
0.99×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.