#2510 of 11K

87045

HCPCS Procedure Code

HCPCS code 87045 is the #2,510 most-billed Medicaid procedure code, with $5.3M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $6.07. Costs vary widely — the 90th percentile is $12.50 per claim, 2.1× the median.

Total Paid

$5.3M

0.00% of all spending

Total Claims

1.0M

Providers

824

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 87045? Based on 775 providers billing this code nationally.

Median

$6.07

Average

$7.67

Std Dev

$11.24

Max

$200.47

Percentile Distribution (Cost per Claim)

p10

$0.99

p25

$3.01

Median

$6.07

p75

$8.68

p90

$12.50

p95

$19.75

p99

$55.16

50% of providers bill between $3.01 and $8.68 per claim for this code.

90% bill between $0.99 and $12.50.

Top 1% bill above $55.16.

About This Procedure

HCPCS code 87045 was billed by 824 providers across 1.0M claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 960K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.07

Providers Billing

775

National Spending

$5.3M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87045

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$262K	$4.91	0.8× median	Below Median
2	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$210K	$3.13	0.5× median	Below Median
3	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$208K	$7.31	1.2× median	Above Median
4	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$207K	$3.32	0.5× median	Below Median
5	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$194K	$5.14	0.8× median	Below Median
6	Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory	$167K	$4.06	0.7× median	Below Median
7	Variety Children's Hospital Miami, FL · General Acute Care Hospital Children	$162K	$65.57	10.8× median	Top 1%
8	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$132K	$5.32	0.9× median	Below Median
9	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$132K	$6.72	1.1× median	Above Median
10	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$99K	$4.41	0.7× median	Below Median
11	Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory	$95K	$4.76	0.8× median	Below Median
12	1265418669	$90K	$6.16	1.0× median	Above Median
13	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$87K	$7.64	1.3× median	Above Median
14	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$86K	$5.07	0.8× median	Below Median
15	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$84K	$2.40	0.4× median	Below Median
16	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$81K	$5.37	0.9× median	Below Median
17	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$78K	$4.10	0.7× median	Below Median
18	Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory	$74K	$5.00	0.8× median	Below Median
19	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$71K	$7.99	1.3× median	Above Median
20	Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory	$68K	$5.10	0.8× median	Below Median

Showing top 20 of 824 providers billing this code

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