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#3496 of 11K

86335

HCPCS Procedure Code

HCPCS code 86335 is the #3,496 most-billed Medicaid procedure code, with $1.6M in payments across 126K claims from 2018–2024. The national median cost per claim is $10.80. Costs vary widely — the 90th percentile is $26.75 per claim, 2.5× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

126K

Providers

182

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 86335? Based on 175 providers billing this code nationally.

Median

$10.80

Average

$14.96

Std Dev

$13.92

Max

$114.40

Percentile Distribution (Cost per Claim)

p10
$4.99
p25
$7.10
Median
$10.80
p75
$17.78
p90
$26.75
p95
$32.98
p99
$69.70

50% of providers bill between $7.10 and $17.78 per claim for this code.

90% bill between $4.99 and $26.75.

Top 1% bill above $69.70.

About This Procedure

HCPCS code 86335 was billed by 182 providers across 126K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 114K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.80

Providers Billing

175

National Spending

$1.6M

Avg/Median Ratio

1.39×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86335

#ProviderTotal Paid
11891873303$313K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$115K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$112K
4Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$102K
5Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$69K
6Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$62K
7Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$54K
8Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$51K
9Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$44K
10The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$36K
111205928793$34K
12Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$33K
13Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$24K
14Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$24K
15Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$22K
16Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$20K
17The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$16K
18Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$16K
19Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$15K
20Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$15K

Showing top 20 of 182 providers billing this code