A6537
HCPCS Procedure Code
HCPCS code A6537 is the #5,900 most-billed Medicaid procedure code, with $122K in payments across 378 claims from 2018–2024. The national median cost per claim is $372.35.
Total Paid
$122K
0.00% of all spending
Total Claims
378
Providers
2
Avg Cost/Claim
$323
National Cost Distribution
How much do providers bill per claim for A6537? Based on 2 providers billing this code nationally.
Median
$372.35
Average
$372.35
Std Dev
$233.58
Max
$537.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $289.77 and $454.94 per claim for this code.
90% bill between $240.22 and $504.49.
Top 1% bill above $534.22.
About This Procedure
HCPCS code A6537 was billed by 2 providers across 378 claims, totaling $122K in Medicaid payments from 2018–2024. This code was used for 239 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$372.35
Providers Billing
2
National Spending
$122K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.