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#5698 of 11K

86606

HCPCS Procedure Code

HCPCS code 86606 is the #5,698 most-billed Medicaid procedure code, with $151K in payments across 17K claims from 2018–2024. The national median cost per claim is $9.62. Costs vary widely — the 90th percentile is $19.53 per claim, 2.0× the median.

Total Paid

$151K

0.00% of all spending

Total Claims

17K

Providers

41

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 86606? Based on 41 providers billing this code nationally.

Median

$9.62

Average

$10.64

Std Dev

$7.83

Max

$35.98

Percentile Distribution (Cost per Claim)

p10
$3.13
p25
$5.06
Median
$9.62
p75
$14.26
p90
$19.53
p95
$28.03
p99
$32.94

50% of providers bill between $5.06 and $14.26 per claim for this code.

90% bill between $3.13 and $19.53.

Top 1% bill above $32.94.

About This Procedure

HCPCS code 86606 was billed by 41 providers across 17K claims, totaling $151K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.62

Providers Billing

41

National Spending

$151K

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86606

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$66K
2Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$11K
3Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$11K
41891873303$8K
5Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$7K
6Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$6K
7Quest Diagnostics Incorporated

Las Vegas, NV · Clinical Medical Laboratory

$6K
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$5K
9Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$5K
10Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$4K
11Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$2K
121447296272$2K
131073587937$2K
141780620526$2K
151376548271$1K
16Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$1K
171942226006$880
181649241084$813
19Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$796
20Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$789

Showing top 20 of 41 providers billing this code