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#7249 of 11K

86406

HCPCS Procedure Code

HCPCS code 86406 is the #7,249 most-billed Medicaid procedure code, with $23K in payments across 2,893 claims from 2018–2024. The national median cost per claim is $9.90.

Total Paid

$23K

0.00% of all spending

Total Claims

2,893

Providers

2

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 86406? Based on 2 providers billing this code nationally.

Median

$9.90

Average

$9.90

Std Dev

$2.55

Max

$11.71

Percentile Distribution (Cost per Claim)

p10
$8.45
p25
$9.00
Median
$9.90
p75
$10.80
p90
$11.34
p95
$11.52
p99
$11.67

50% of providers bill between $9.00 and $10.80 per claim for this code.

90% bill between $8.45 and $11.34.

Top 1% bill above $11.67.

About This Procedure

HCPCS code 86406 was billed by 2 providers across 2,893 claims, totaling $23K in Medicaid payments from 2018–2024. This code was used for 2,702 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.90

Providers Billing

2

National Spending

$23K

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.