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#2848 of 11K

87521

HCPCS Procedure Code

HCPCS code 87521 is the #2,848 most-billed Medicaid procedure code, with $3.3M in payments across 152K claims from 2018–2024. The national median cost per claim is $23.26.

Total Paid

$3.3M

0.00% of all spending

Total Claims

152K

Providers

120

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 87521? Based on 113 providers billing this code nationally.

Median

$23.26

Average

$24.45

Std Dev

$20.13

Max

$205.41

Percentile Distribution (Cost per Claim)

p10
$8.08
p25
$15.44
Median
$23.26
p75
$30.04
p90
$36.97
p95
$41.94
p99
$50.08

50% of providers bill between $15.44 and $30.04 per claim for this code.

90% bill between $8.08 and $36.97.

Top 1% bill above $50.08.

About This Procedure

HCPCS code 87521 was billed by 120 providers across 152K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 143K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.26

Providers Billing

113

National Spending

$3.3M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87521

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$619K
21881841120$410K
3Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$346K
41093856965$313K
5Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$185K
61548208440$175K
7Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$110K
8A2cl Services, Llc

West Allis, WI · Clinical Medical Laboratory

$108K
9Southcoast Hospitals Group, Inc

New Bedford, MA · General Acute Care Hospital

$100K
101306871223$80K
11Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$71K
12Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$68K
131235290651$52K
14Permanente Medical Group Inc.

Berkeley, CA · Clinical Medical Laboratory

$48K
15Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$45K
16Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$41K
171821360017$38K
18Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$33K
191982606992$31K
20Bluewater Toxicology Llc

Mt Washington, KY · Clinical Medical Laboratory

$27K

Showing top 20 of 120 providers billing this code