#1877 of 11K

86200

HCPCS Procedure Code

HCPCS code 86200 is the #1,877 most-billed Medicaid procedure code, with $12.3M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $8.01.

Total Paid

$12.3M

0.00% of all spending

Total Claims

2.0M

Providers

813

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 86200? Based on 756 providers billing this code nationally.

Median

$8.01

Average

$9.23

Std Dev

$9.21

Max

$114.03

Percentile Distribution (Cost per Claim)

p10

$1.92

p25

$4.81

Median

$8.01

p75

$11.30

p90

$14.51

p95

$18.83

p99

$48.68

50% of providers bill between $4.81 and $11.30 per claim for this code.

90% bill between $1.92 and $14.51.

Top 1% bill above $48.68.

About This Procedure

HCPCS code 86200 was billed by 813 providers across 2.0M claims, totaling $12.3M in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.01

Providers Billing

756

National Spending

$12.3M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86200

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$986K	$7.60	0.9× median	Below Median
2	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$617K	$3.30	0.4× median	Below Median
3	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$523K	$8.54	1.1× median	Above Median
4	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$426K	$6.58	0.8× median	Below Median
5	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$414K	$7.41	0.9× median	Below Median
6	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$391K	$3.42	0.4× median	Below Median
7	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$305K	$10.17	1.3× median	Above Median
8	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$301K	$8.52	1.1× median	Above Median
9	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$294K	$6.62	0.8× median	Below Median
10	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$236K	$9.13	1.1× median	Above Median
11	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$224K	$6.52	0.8× median	Below Median
12	1548538200	$211K	$9.81	1.2× median	Above Median
13	Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory	$203K	$5.27	0.7× median	Below Median
14	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$177K	$6.47	0.8× median	Below Median
15	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$168K	$6.00	0.7× median	Below Median
16	Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory	$154K	$8.08	1.0× median	Above Median
17	1316983158	$137K	$8.48	1.1× median	Above Median
18	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$125K	$8.26	1.0× median	Above Median
19	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$119K	$4.16	0.5× median	Below Median
20	Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital	$113K	$30.35	3.8× median	Top 10%

Showing top 20 of 813 providers billing this code

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