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#3059 of 11K

86308

HCPCS Procedure Code

HCPCS code 86308 is the #3,059 most-billed Medicaid procedure code, with $2.6M in payments across 692K claims from 2018–2024. The national median cost per claim is $3.84. Costs vary widely — the 90th percentile is $7.76 per claim, 2.0× the median.

Total Paid

$2.6M

0.00% of all spending

Total Claims

692K

Providers

2K

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 86308? Based on 2K providers billing this code nationally.

Median

$3.84

Average

$4.98

Std Dev

$8.03

Max

$140.29

Percentile Distribution (Cost per Claim)

p10
$0.49
p25
$2.01
Median
$3.84
p75
$5.21
p90
$7.76
p95
$13.68
p99
$39.60

50% of providers bill between $2.01 and $5.21 per claim for this code.

90% bill between $0.49 and $7.76.

Top 1% bill above $39.60.

About This Procedure

HCPCS code 86308 was billed by 2K providers across 692K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 651K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.84

Providers Billing

2K

National Spending

$2.6M

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86308

#ProviderTotal Paid
1Palomar Health

Escondido, CA · General Acute Care Hospital

$59K
2Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$55K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$44K
4Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$42K
51548538200$34K
61184776551$33K
7The Miriam Hospital

Providence, RI · General Acute Care Hospital

$33K
8Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$30K
9Port City Operating Company Llc

Stockton, CA · General Acute Care Hospital

$29K
10Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$29K
11Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$27K
12Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$25K
13Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$25K
14Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$24K
151912133315$23K
161477500015$23K
17Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$23K
18Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$21K
191831188275$19K
20Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$18K

Showing top 20 of 2K providers billing this code