A9526
HCPCS Procedure Code
HCPCS code A9526 is the #8,452 most-billed Medicaid procedure code, with $3K in payments across 153 claims from 2018–2024. The national median cost per claim is $15.65. Costs vary widely — the 90th percentile is $138.45 per claim, 8.8× the median.
Total Paid
$3K
0.00% of all spending
Total Claims
153
Providers
5
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for A9526? Based on 3 providers billing this code nationally.
Median
$15.65
Average
$65.60
Std Dev
$89.69
Max
$169.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.83 and $92.40 per claim for this code.
90% bill between $12.73 and $138.45.
Top 1% bill above $166.07.
About This Procedure
HCPCS code A9526 was billed by 5 providers across 153 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 88 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.65
Providers Billing
3
National Spending
$3K
Avg/Median Ratio
4.19×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A9526
| # | Provider | Total Paid |
|---|---|---|
| 1 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $2K |
| 2 | 1659387934 | $329 |
| 3 | 1568760544 | $180 |
| 4 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $0 |
| 5 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $0 |
Showing top 5 of 5 providers billing this code