W1726
HCPCS Procedure Code
HCPCS code W1726 is the #1,957 most-billed Medicaid procedure code, with $11.0M in payments across 62K claims from 2018–2024. The national median cost per claim is $167.76.
Total Paid
$11.0M
0.00% of all spending
Total Claims
62K
Providers
8
Avg Cost/Claim
$178
National Cost Distribution
How much do providers bill per claim for W1726? Based on 8 providers billing this code nationally.
Median
$167.76
Average
$175.41
Std Dev
$61.63
Max
$249.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $142.87 and $231.50 per claim for this code.
90% bill between $95.62 and $246.08.
Top 1% bill above $249.15.
About This Procedure
HCPCS code W1726 was billed by 8 providers across 62K claims, totaling $11.0M in Medicaid payments from 2018–2024. This code was used for 5,874 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$167.76
Providers Billing
8
National Spending
$11.0M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for W1726
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982804290 | $5.0M |
| 2 | 1609150846 | $3.4M |
| 3 | 1679719835 | $2.0M |
| 4 | 1679700405 | $273K |
| 5 | 1033213186 | $200K |
| 6 | Hope Enterprises Inc. Williamsport, PA · Voluntary or Charitable | $83K |
| 7 | 1205923190 | $40K |
| 8 | 1265426084 | $7K |
Showing top 8 of 8 providers billing this code