86037
HCPCS Procedure Code
HCPCS code 86037 is the #4,335 most-billed Medicaid procedure code, with $654K in payments across 70K claims from 2018–2024. The national median cost per claim is $8.15. Costs vary widely — the 90th percentile is $22.57 per claim, 2.8× the median.
Total Paid
$654K
0.00% of all spending
Total Claims
70K
Providers
42
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 86037? Based on 42 providers billing this code nationally.
Median
$8.15
Average
$10.06
Std Dev
$8.11
Max
$31.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.73 and $12.87 per claim for this code.
90% bill between $1.81 and $22.57.
Top 1% bill above $31.63.
About This Procedure
HCPCS code 86037 was billed by 42 providers across 70K claims, totaling $654K in Medicaid payments from 2018–2024. This code was used for 63K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.15
Providers Billing
42
National Spending
$654K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86037
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $279K |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $121K |
| 3 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $62K |
| 4 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $31K |
| 5 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $28K |
| 6 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $22K |
| 7 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $16K |
| 8 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $16K |
| 9 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $13K |
| 10 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $9K |
| 11 | 1649767948 | $8K |
| 12 | 1104829159 | $7K |
| 13 | 1245494517 | $6K |
| 14 | Laboratory Corporation Of America Houston, TX · Clinical Medical Laboratory | $5K |
| 15 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $5K |
| 16 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $4K |
| 17 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $4K |
| 18 | 1699858373 | $2K |
| 19 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $2K |
| 20 | 1811524572 | $2K |
Showing top 20 of 42 providers billing this code