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#4122 of 11K

86036

HCPCS Procedure Code

HCPCS code 86036 is the #4,122 most-billed Medicaid procedure code, with $830K in payments across 111K claims from 2018–2024. The national median cost per claim is $7.33. Costs vary widely — the 90th percentile is $14.75 per claim, 2.0× the median.

Total Paid

$830K

0.00% of all spending

Total Claims

111K

Providers

119

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 86036? Based on 115 providers billing this code nationally.

Median

$7.33

Average

$8.69

Std Dev

$8.28

Max

$71.43

Percentile Distribution (Cost per Claim)

p10
$2.37
p25
$4.25
Median
$7.33
p75
$10.46
p90
$14.75
p95
$19.78
p99
$34.84

50% of providers bill between $4.25 and $10.46 per claim for this code.

90% bill between $2.37 and $14.75.

Top 1% bill above $34.84.

About This Procedure

HCPCS code 86036 was billed by 119 providers across 111K claims, totaling $830K in Medicaid payments from 2018–2024. This code was used for 105K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.33

Providers Billing

115

National Spending

$830K

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86036

#ProviderTotal Paid
1Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$125K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$92K
3Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$78K
4Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$32K
5Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$32K
6Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$32K
7Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$28K
8Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$26K
91316983158$23K
101770529513$19K
11Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$18K
12Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$18K
13Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$16K
14Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$14K
15The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$14K
16Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$12K
171447296272$11K
18Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$11K
19Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$11K
201215930987$10K

Showing top 20 of 119 providers billing this code