86381
HCPCS Procedure Code
HCPCS code 86381 is the #3,414 most-billed Medicaid procedure code, with $1.7M in payments across 172K claims from 2018–2024. The national median cost per claim is $12.14.
Total Paid
$1.7M
0.00% of all spending
Total Claims
172K
Providers
131
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 86381? Based on 124 providers billing this code nationally.
Median
$12.14
Average
$12.81
Std Dev
$8.16
Max
$57.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.60 and $16.52 per claim for this code.
90% bill between $3.78 and $21.93.
Top 1% bill above $33.02.
About This Procedure
HCPCS code 86381 was billed by 131 providers across 172K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 164K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.14
Providers Billing
124
National Spending
$1.7M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86381
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $190K |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $134K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $129K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $114K |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $84K |
| 6 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $75K |
| 7 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $72K |
| 8 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $69K |
| 9 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $50K |
| 10 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $42K |
| 11 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $39K |
| 12 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $35K |
| 13 | 1316983158 | $33K |
| 14 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $32K |
| 15 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $31K |
| 16 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $29K |
| 17 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $27K |
| 18 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $27K |
| 19 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $25K |
| 20 | 1376548271 | $24K |
Showing top 20 of 131 providers billing this code