86041
HCPCS Procedure Code
HCPCS code 86041 is the #6,588 most-billed Medicaid procedure code, with $54K in payments across 4,535 claims from 2018–2024. The national median cost per claim is $8.81.
Total Paid
$54K
0.00% of all spending
Total Claims
4,535
Providers
23
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 86041? Based on 21 providers billing this code nationally.
Median
$8.81
Average
$10.84
Std Dev
$7.89
Max
$40.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.44 and $13.27 per claim for this code.
90% bill between $5.12 and $16.56.
Top 1% bill above $36.05.
About This Procedure
HCPCS code 86041 was billed by 23 providers across 4,535 claims, totaling $54K in Medicaid payments from 2018–2024. This code was used for 4,258 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.81
Providers Billing
21
National Spending
$54K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86041
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $26K |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $6K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $6K |
| 4 | 1891873303 | $3K |
| 5 | 1780620526 | $3K |
| 6 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $2K |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $2K |
| 8 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $979 |
| 9 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $866 |
| 10 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $746 |
| 11 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $732 |
| 12 | 1376548271 | $662 |
| 13 | 1316983158 | $525 |
| 14 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $381 |
| 15 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $343 |
| 16 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $333 |
| 17 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $250 |
| 18 | A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory | $247 |
| 19 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $154 |
| 20 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $98 |
Showing top 20 of 23 providers billing this code