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#4863 of 11K

85670

HCPCS Procedure Code

HCPCS code 85670 is the #4,863 most-billed Medicaid procedure code, with $369K in payments across 140K claims from 2018–2024. The national median cost per claim is $3.49. Costs vary widely — the 90th percentile is $7.92 per claim, 2.3× the median.

Total Paid

$369K

0.00% of all spending

Total Claims

140K

Providers

125

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 85670? Based on 119 providers billing this code nationally.

Median

$3.49

Average

$4.26

Std Dev

$5.08

Max

$40.14

Percentile Distribution (Cost per Claim)

p10
$0.52
p25
$1.37
Median
$3.49
p75
$4.81
p90
$7.92
p95
$9.48
p99
$25.75

50% of providers bill between $1.37 and $4.81 per claim for this code.

90% bill between $0.52 and $7.92.

Top 1% bill above $25.75.

About This Procedure

HCPCS code 85670 was billed by 125 providers across 140K claims, totaling $369K in Medicaid payments from 2018–2024. This code was used for 130K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.49

Providers Billing

119

National Spending

$369K

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 85670

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$115K
21780655670$23K
3Laboratory Corporation Of America

Phoenix, AZ · Clinical Medical Laboratory

$17K
4Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$14K
5Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$14K
6Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$13K
71881697464$12K
81134194038$8K
9Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$7K
101215914585$7K
11Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$7K
12Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$6K
13Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$6K
14Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$5K
15A2cl Services, Llc

West Allis, WI · Clinical Medical Laboratory

$5K
16Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$5K
17Stanford Health Care

Stanford, CA · General Acute Care Hospital

$5K
18Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$4K
191598747651$4K
20The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$4K

Showing top 20 of 125 providers billing this code

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