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#3394 of 11K

86060

HCPCS Procedure Code

HCPCS code 86060 is the #3,394 most-billed Medicaid procedure code, with $1.8M in payments across 471K claims from 2018–2024. The national median cost per claim is $4.37.

Total Paid

$1.8M

0.00% of all spending

Total Claims

471K

Providers

191

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 86060? Based on 173 providers billing this code nationally.

Median

$4.37

Average

$5.03

Std Dev

$3.97

Max

$25.02

Percentile Distribution (Cost per Claim)

p10
$0.89
p25
$2.86
Median
$4.37
p75
$6.75
p90
$8.09
p95
$9.03
p99
$21.78

50% of providers bill between $2.86 and $6.75 per claim for this code.

90% bill between $0.89 and $8.09.

Top 1% bill above $21.78.

About This Procedure

HCPCS code 86060 was billed by 191 providers across 471K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 446K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.37

Providers Billing

173

National Spending

$1.8M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86060

#ProviderTotal Paid
1Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$287K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$149K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$134K
4Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$123K
5Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$100K
6Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$96K
7Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$74K
81316240880$49K
9Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$43K
10Sherman Abrams Laboratory Inc

Brooklyn, NY · Clinical Medical Laboratory

$39K
11Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$37K
12Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$35K
13Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$30K
14Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$30K
15Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$29K
16Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$28K
17Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$27K
181548208440$26K
191689669293$23K
20Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$21K

Showing top 20 of 191 providers billing this code