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#9255 of 11K

86386

HCPCS Procedure Code

HCPCS code 86386 is the #9,255 most-billed Medicaid procedure code, with $163 in payments across 165 claims from 2018–2024. The national median cost per claim is $4.95.

Total Paid

$163

0.00% of all spending

Total Claims

165

Providers

2

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for 86386? Based on 2 providers billing this code nationally.

Median

$4.95

Average

$4.95

Std Dev

$6.85

Max

$9.80

Percentile Distribution (Cost per Claim)

p10
$1.08
p25
$2.53
Median
$4.95
p75
$7.38
p90
$8.83
p95
$9.31
p99
$9.70

50% of providers bill between $2.53 and $7.38 per claim for this code.

90% bill between $1.08 and $8.83.

Top 1% bill above $9.70.

About This Procedure

HCPCS code 86386 was billed by 2 providers across 165 claims, totaling $163 in Medicaid payments from 2018–2024. This code was used for 159 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.95

Providers Billing

2

National Spending

$163

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.