A6403
HCPCS Procedure Code
HCPCS code A6403 is the #3,744 most-billed Medicaid procedure code, with $1.2M in payments across 41K claims from 2018–2024. The national median cost per claim is $16.07. Costs vary widely — the 90th percentile is $54.84 per claim, 3.4× the median.
Total Paid
$1.2M
0.00% of all spending
Total Claims
41K
Providers
73
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for A6403? Based on 60 providers billing this code nationally.
Median
$16.07
Average
$24.51
Std Dev
$27.69
Max
$143.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.09 and $34.55 per claim for this code.
90% bill between $0.30 and $54.84.
Top 1% bill above $121.18.
About This Procedure
HCPCS code A6403 was billed by 73 providers across 41K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.07
Providers Billing
60
National Spending
$1.2M
Avg/Median Ratio
1.53×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A6403
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1437223500 | $320K |
| 2 | 1861480048 | $207K |
| 3 | 1093229320 | $161K |
| 4 | 1467879718 | $148K |
| 5 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $62K |
| 6 | 1932566858 | $39K |
| 7 | 1245277623 | $33K |
| 8 | 1649244138 | $30K |
| 9 | 1710932173 | $26K |
| 10 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $18K |
| 11 | 1639161250 | $16K |
| 12 | 1043215379 | $15K |
| 13 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $15K |
| 14 | 1912397936 | $11K |
| 15 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $11K |
| 16 | 1659353662 | $9K |
| 17 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $9K |
| 18 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $8K |
| 19 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $8K |
| 20 | 1033190137 | $8K |
Showing top 20 of 73 providers billing this code