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#8952 of 11K

86486

HCPCS Procedure Code

HCPCS code 86486 is the #8,952 most-billed Medicaid procedure code, with $688 in payments across 192 claims from 2018–2024. The national median cost per claim is $2.08.

Total Paid

$688

0.00% of all spending

Total Claims

192

Providers

2

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 86486? Based on 2 providers billing this code nationally.

Median

$2.08

Average

$2.08

Std Dev

$2.49

Max

$3.84

Percentile Distribution (Cost per Claim)

p10
$0.67
p25
$1.20
Median
$2.08
p75
$2.96
p90
$3.49
p95
$3.67
p99
$3.81

50% of providers bill between $1.20 and $2.96 per claim for this code.

90% bill between $0.67 and $3.49.

Top 1% bill above $3.81.

About This Procedure

HCPCS code 86486 was billed by 2 providers across 192 claims, totaling $688 in Medicaid payments from 2018–2024. This code was used for 169 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.08

Providers Billing

2

National Spending

$688

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.