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#4941 of 11K

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)

p10
$57.17
p25
$82.67
Median
$128.98
p75
$173.93
p90
$196.99
p95
$204.68
p99
$210.83

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.