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#605 of 11K

93976

HCPCS Procedure Code

HCPCS code 93976 is the #605 most-billed Medicaid procedure code, with $128.3M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $42.06. Costs vary widely — the 90th percentile is $151.84 per claim, 3.6× the median.

Total Paid

$128.3M

0.01% of all spending

Total Claims

1.8M

Providers

2K

Avg Cost/Claim

$73

National Cost Distribution

How much do providers bill per claim for 93976? Based on 2K providers billing this code nationally.

Median

$42.06

Average

$70.22

Std Dev

$76.03

Max

$850.25

Percentile Distribution (Cost per Claim)

p10
$16.58
p25
$23.78
Median
$42.06
p75
$94.26
p90
$151.84
p95
$191.57
p99
$383.93

50% of providers bill between $23.78 and $94.26 per claim for this code.

90% bill between $16.58 and $151.84.

Top 1% bill above $383.93.

About This Procedure

HCPCS code 93976 was billed by 2K providers across 1.8M claims, totaling $128.3M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.06

Providers Billing

2K

National Spending

$128.3M

Avg/Median Ratio

1.67×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93976

#ProviderTotal Paid
11124040076$5.9M
21366689697$2.7M
3Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$2.6M
4Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$2.3M
51205859691$2.2M
61154407013$2.1M
71831530906$2.0M
81144252990$1.6M
9Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$1.6M
101477671535$1.5M
111184847410$1.5M
121790736551$1.4M
131144399098$1.4M
141881666998$1.4M
15Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$1.4M
161215940796$1.4M
17Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$1.3M
18Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$1.1M
191700819760$1.1M
20Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$1.0M

Showing top 20 of 2K providers billing this code