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#5007 of 11K

86215

HCPCS Procedure Code

HCPCS code 86215 is the #5,007 most-billed Medicaid procedure code, with $322K in payments across 50K claims from 2018–2024. The national median cost per claim is $7.35.

Total Paid

$322K

0.00% of all spending

Total Claims

50K

Providers

43

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 86215? Based on 42 providers billing this code nationally.

Median

$7.35

Average

$7.69

Std Dev

$4.60

Max

$21.75

Percentile Distribution (Cost per Claim)

p10
$2.18
p25
$4.38
Median
$7.35
p75
$9.41
p90
$13.27
p95
$14.64
p99
$20.21

50% of providers bill between $4.38 and $9.41 per claim for this code.

90% bill between $2.18 and $13.27.

Top 1% bill above $20.21.

About This Procedure

HCPCS code 86215 was billed by 43 providers across 50K claims, totaling $322K in Medicaid payments from 2018–2024. This code was used for 48K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.35

Providers Billing

42

National Spending

$322K

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86215

#ProviderTotal Paid
1Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$88K
2Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$64K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$53K
4Sherman Abrams Laboratory Inc

Brooklyn, NY · Clinical Medical Laboratory

$23K
5Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$20K
6Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$15K
7Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$13K
81811997711$12K
9State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$5K
10Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$3K
11Centers Lab Nj Llc

Cedar Knolls, NJ · Clinical Medical Laboratory

$3K
121447296272$2K
131962485136$2K
141073587937$2K
15Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$2K
161033495221$1K
171770529513$1K
18Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$1K
191780620526$1K
20Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$1K

Showing top 20 of 43 providers billing this code

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