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#3038 of 11K

86341

HCPCS Procedure Code

HCPCS code 86341 is the #3,038 most-billed Medicaid procedure code, with $2.7M in payments across 216K claims from 2018–2024. The national median cost per claim is $13.88. Costs vary widely — the 90th percentile is $32.68 per claim, 2.4× the median.

Total Paid

$2.7M

0.00% of all spending

Total Claims

216K

Providers

143

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 86341? Based on 138 providers billing this code nationally.

Median

$13.88

Average

$18.28

Std Dev

$14.76

Max

$100.45

Percentile Distribution (Cost per Claim)

p10
$6.55
p25
$10.24
Median
$13.88
p75
$22.45
p90
$32.68
p95
$41.91
p99
$81.24

50% of providers bill between $10.24 and $22.45 per claim for this code.

90% bill between $6.55 and $32.68.

Top 1% bill above $81.24.

About This Procedure

HCPCS code 86341 was billed by 143 providers across 216K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 169K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.88

Providers Billing

138

National Spending

$2.7M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86341

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$325K
2Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$197K
31780620526$120K
4Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$116K
5Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$103K
61376548271$94K
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$90K
8Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$84K
9Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$70K
10Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$67K
11Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$61K
12Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$60K
131962489237$60K
14Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$58K
15Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$57K
16Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$55K
17Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$54K
181447296272$51K
19Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$48K
20Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$47K

Showing top 20 of 143 providers billing this code