A6245
HCPCS Procedure Code
HCPCS code A6245 is the #3,989 most-billed Medicaid procedure code, with $955K in payments across 38K claims from 2018–2024. The national median cost per claim is $26.74. Costs vary widely — the 90th percentile is $82.68 per claim, 3.1× the median.
Total Paid
$955K
0.00% of all spending
Total Claims
38K
Providers
9
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for A6245? Based on 9 providers billing this code nationally.
Median
$26.74
Average
$43.56
Std Dev
$45.54
Max
$158.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.78 and $32.40 per claim for this code.
90% bill between $17.65 and $82.68.
Top 1% bill above $151.24.
About This Procedure
HCPCS code A6245 was billed by 9 providers across 38K claims, totaling $955K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.74
Providers Billing
9
National Spending
$955K
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A6245
| # | Provider | Total Paid |
|---|---|---|
| 1 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $719K |
| 2 | 1639375835 | $99K |
| 3 | 1013124213 | $74K |
| 4 | 1801866173 | $49K |
| 5 | 1760918882 | $6K |
| 6 | 1295259612 | $3K |
| 7 | 1801550132 | $3K |
| 8 | 1225413743 | $2K |
| 9 | 1063771798 | $335 |
Showing top 9 of 9 providers billing this code