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#2036 of 11K

86336

HCPCS Procedure Code

HCPCS code 86336 is the #2,036 most-billed Medicaid procedure code, with $9.8M in payments across 883K claims from 2018–2024. The national median cost per claim is $12.12.

Total Paid

$9.8M

0.00% of all spending

Total Claims

883K

Providers

359

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 86336? Based on 332 providers billing this code nationally.

Median

$12.12

Average

$12.49

Std Dev

$9.92

Max

$80.08

Percentile Distribution (Cost per Claim)

p10
$3.13
p25
$7.23
Median
$12.12
p75
$14.94
p90
$18.26
p95
$22.63
p99
$62.28

50% of providers bill between $7.23 and $14.94 per claim for this code.

90% bill between $3.13 and $18.26.

Top 1% bill above $62.28.

About This Procedure

HCPCS code 86336 was billed by 359 providers across 883K claims, totaling $9.8M in Medicaid payments from 2018–2024. This code was used for 823K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.12

Providers Billing

332

National Spending

$9.8M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86336

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$4.0M
21992779664$329K
31801197256$320K
4Dallas County Hospital District

Dallas, TX · Clinic/Center, Ambulatory Surgical

$268K
5Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$216K
6Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$210K
7Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$200K
81780620526$196K
9Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$195K
101235186800$185K
11Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$182K
12Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$181K
131134195357$151K
14Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$149K
151770529513$134K
16North Carolina Baptist Hospital

Winston Salem, NC · General Acute Care Hospital

$118K
17Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$98K
18Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$94K
19Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$85K
20Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$79K

Showing top 20 of 359 providers billing this code