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#2553 of 11K

81545

HCPCS Procedure Code

HCPCS code 81545 is the #2,553 most-billed Medicaid procedure code, with $5.0M in payments across 5K claims from 2018–2024. The national median cost per claim is $1,744.43.

Total Paid

$5.0M

0.00% of all spending

Total Claims

5K

Providers

2

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 81545? Based on 2 providers billing this code nationally.

Median

$1,744.43

Average

$1,744.43

Std Dev

$1,040.26

Max

$2,480.00

Percentile Distribution (Cost per Claim)

p10
$1,155.97
p25
$1,376.64
Median
$1,744.43
p75
$2,112.21
p90
$2,332.89
p95
$2,406.44
p99
$2,465.29

50% of providers bill between $1,376.64 and $2,112.21 per claim for this code.

90% bill between $1,155.97 and $2,332.89.

Top 1% bill above $2,465.29.

About This Procedure

HCPCS code 81545 was billed by 2 providers across 5K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,744.43

Providers Billing

2

National Spending

$5.0M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.