86008
HCPCS Procedure Code
HCPCS code 86008 is the #1,903 most-billed Medicaid procedure code, with $11.9M in payments across 441K claims from 2018–2024. The national median cost per claim is $19.63. Costs vary widely — the 90th percentile is $100.26 per claim, 5.1× the median.
Total Paid
$11.9M
0.00% of all spending
Total Claims
441K
Providers
167
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for 86008? Based on 157 providers billing this code nationally.
Median
$19.63
Average
$38.84
Std Dev
$52.06
Max
$345.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.25 and $52.41 per claim for this code.
90% bill between $4.65 and $100.26.
Top 1% bill above $263.29.
About This Procedure
HCPCS code 86008 was billed by 167 providers across 441K claims, totaling $11.9M in Medicaid payments from 2018–2024. This code was used for 378K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.63
Providers Billing
157
National Spending
$11.9M
Avg/Median Ratio
1.98×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 86008
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $3.1M |
| 2 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $1.1M |
| 3 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $678K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $538K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $503K |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $497K |
| 7 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $460K |
| 8 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $423K |
| 9 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $342K |
| 10 | University Of Rochester Rochester, NY · General Acute Care Hospital | $270K |
| 11 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $262K |
| 12 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $236K |
| 13 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $218K |
| 14 | Children's Hospital Corporation Boston, MA · Clinic/Center | $206K |
| 15 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $194K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $187K |
| 17 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $186K |
| 18 | 1497770424 | $182K |
| 19 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $169K |
| 20 | 1215930987 | $148K |
Showing top 20 of 167 providers billing this code