86376
HCPCS Procedure Code
HCPCS code 86376 is the #1,368 most-billed Medicaid procedure code, with $25.5M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $9.79.
Total Paid
$25.5M
0.00% of all spending
Total Claims
3.4M
Providers
1,161
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 86376? Based on 1,100 providers billing this code nationally.
Median
$9.79
Average
$10.29
Std Dev
$8.35
Max
$121.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.15 and $13.21 per claim for this code.
90% bill between $2.08 and $15.98.
Top 1% bill above $35.12.
About This Procedure
HCPCS code 86376 was billed by 1,161 providers across 3.4M claims, totaling $25.5M in Medicaid payments from 2018–2024. This code was used for 3.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.79
Providers Billing
1,100
National Spending
$25.5M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86376
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.3M |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $1.2M |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.2M |
| 4 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $994K |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $987K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $950K |
| 7 | 1467586792 | $605K |
| 8 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $487K |
| 9 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $474K |
| 10 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $458K |
| 11 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $447K |
| 12 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $442K |
| 13 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $427K |
| 14 | 1548538200 | $415K |
| 15 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $400K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $376K |
| 17 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $371K |
| 18 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $347K |
| 19 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $276K |
| 20 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $260K |
Showing top 20 of 1,161 providers billing this code