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#4479 of 11K

A6218

HCPCS Procedure Code

HCPCS code A6218 is the #4,479 most-billed Medicaid procedure code, with $561K in payments across 6,103 claims from 2018–2024. The national median cost per claim is $12.89. Costs vary widely — the 90th percentile is $182.25 per claim, 14.1× the median.

Total Paid

$561K

0.00% of all spending

Total Claims

6,103

Providers

14

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for A6218? Based on 14 providers billing this code nationally.

Median

$12.89

Average

$91.21

Std Dev

$213.24

Max

$800.39

Percentile Distribution (Cost per Claim)

p10
$2.33
p25
$8.22
Median
$12.89
p75
$20.72
p90
$182.25
p95
$400.18
p99
$720.35

50% of providers bill between $8.22 and $20.72 per claim for this code.

90% bill between $2.33 and $182.25.

Top 1% bill above $720.35.

About This Procedure

HCPCS code A6218 was billed by 14 providers across 6,103 claims, totaling $561K in Medicaid payments from 2018–2024. This code was used for 5,556 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.89

Providers Billing

14

National Spending

$561K

Avg/Median Ratio

7.08×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A6218

#ProviderTotal Paid
11578868774$261K
21669428124$203K
31043398407$33K
4Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$29K
5Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$23K
61710932173$6K
7Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$2K
81023063641$1K
91427139641$716
101568083087$520
111346295953$432
121346348968$191
131548544166$79
141922006741$77

Showing top 14 of 14 providers billing this code