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#5405 of 11K

K0806

HCPCS Procedure Code

HCPCS code K0806 is the #5,405 most-billed Medicaid procedure code, with $207K in payments across 307 claims from 2018–2024. The national median cost per claim is $652.50.

Total Paid

$207K

0.00% of all spending

Total Claims

307

Providers

6

Avg Cost/Claim

$675

National Cost Distribution

How much do providers bill per claim for K0806? Based on 6 providers billing this code nationally.

Median

$652.50

Average

$745.39

Std Dev

$375.53

Max

$1,485.71

Percentile Distribution (Cost per Claim)

p10
$498.73
p25
$600.56
Median
$652.50
p75
$676.43
p90
$1,084.94
p95
$1,285.33
p99
$1,445.63

50% of providers bill between $600.56 and $676.43 per claim for this code.

90% bill between $498.73 and $1,084.94.

Top 1% bill above $1,445.63.

About This Procedure

HCPCS code K0806 was billed by 6 providers across 307 claims, totaling $207K in Medicaid payments from 2018–2024. This code was used for 303 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$652.50

Providers Billing

6

National Spending

$207K

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0806

#ProviderTotal Paid
11083612022$154K
21225001894$19K
31841263621$10K
41629281779$9K
51932566858$9K
6Integra Partners Llc

Troy, MI · Orthotic Fitter

$5K

Showing top 6 of 6 providers billing this code