86078
HCPCS Procedure Code
HCPCS code 86078 is the #8,460 most-billed Medicaid procedure code, with $3K in payments across 125 claims from 2018–2024. The national median cost per claim is $26.18.
Total Paid
$3K
0.00% of all spending
Total Claims
125
Providers
4
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for 86078? Based on 4 providers billing this code nationally.
Median
$26.18
Average
$27.29
Std Dev
$15.64
Max
$47.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.95 and $31.53 per claim for this code.
90% bill between $14.37 and $41.11.
Top 1% bill above $46.87.
About This Procedure
HCPCS code 86078 was billed by 4 providers across 125 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 102 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.18
Providers Billing
4
National Spending
$3K
Avg/Median Ratio
1.04×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.