86300
HCPCS Procedure Code
HCPCS code 86300 is the #2,348 most-billed Medicaid procedure code, with $6.5M in payments across 664K claims from 2018–2024. The national median cost per claim is $10.47. Costs vary widely — the 90th percentile is $20.95 per claim, 2.0× the median.
Total Paid
$6.5M
0.00% of all spending
Total Claims
664K
Providers
431
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 86300? Based on 407 providers billing this code nationally.
Median
$10.47
Average
$11.51
Std Dev
$10.45
Max
$150.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.23 and $15.88 per claim for this code.
90% bill between $1.79 and $20.95.
Top 1% bill above $34.75.
About This Procedure
HCPCS code 86300 was billed by 431 providers across 664K claims, totaling $6.5M in Medicaid payments from 2018–2024. This code was used for 560K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.47
Providers Billing
407
National Spending
$6.5M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86300
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $971K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $263K |
| 3 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $194K |
| 4 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $183K |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $176K |
| 6 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $173K |
| 7 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $172K |
| 8 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $149K |
| 9 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $146K |
| 10 | 1912978834 | $125K |
| 11 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $124K |
| 12 | 1720306566 | $119K |
| 13 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $116K |
| 14 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $112K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $103K |
| 16 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $92K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $70K |
| 18 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $70K |
| 19 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $69K |
| 20 | 1396794574 | $64K |
Showing top 20 of 431 providers billing this code