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#7291 of 11K

86079

HCPCS Procedure Code

HCPCS code 86079 is the #7,291 most-billed Medicaid procedure code, with $22K in payments across 897 claims from 2018–2024. The national median cost per claim is $25.37.

Total Paid

$22K

0.00% of all spending

Total Claims

897

Providers

9

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 86079? Based on 9 providers billing this code nationally.

Median

$25.37

Average

$28.21

Std Dev

$17.52

Max

$63.60

Percentile Distribution (Cost per Claim)

p10
$11.42
p25
$23.98
Median
$25.37
p75
$31.02
p90
$47.03
p95
$55.32
p99
$61.94

50% of providers bill between $23.98 and $31.02 per claim for this code.

90% bill between $11.42 and $47.03.

Top 1% bill above $61.94.

About This Procedure

HCPCS code 86079 was billed by 9 providers across 897 claims, totaling $22K in Medicaid payments from 2018–2024. This code was used for 625 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.37

Providers Billing

9

National Spending

$22K

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86079

#ProviderTotal Paid
11376852061$5K
21942498985$5K
31477554814$4K
4Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$4K
51366499733$2K
61518229129$1K
71396144879$520
8Yale University

New Haven, CT · Internal Medicine

$384
9Integrated Regional Laboratories Pathology Services Llc

Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology

$27

Showing top 9 of 9 providers billing this code

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