86618
HCPCS Procedure Code
HCPCS code 86618 is the #1,737 most-billed Medicaid procedure code, with $15.1M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $12.93.
Total Paid
$15.1M
0.00% of all spending
Total Claims
1.3M
Providers
712
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 86618? Based on 696 providers billing this code nationally.
Median
$12.93
Average
$15.17
Std Dev
$12.49
Max
$127.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.55 and $18.91 per claim for this code.
90% bill between $4.36 and $25.13.
Top 1% bill above $63.71.
About This Procedure
HCPCS code 86618 was billed by 712 providers across 1.3M claims, totaling $15.1M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.93
Providers Billing
696
National Spending
$15.1M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86618
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1.4M |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $949K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $889K |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $545K |
| 5 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $524K |
| 6 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $500K |
| 7 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $466K |
| 8 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $415K |
| 9 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $336K |
| 10 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $305K |
| 11 | 1861404121 | $194K |
| 12 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $172K |
| 13 | Health Network Laboratories, Llc Allentown, PA · Clinical Medical Laboratory | $167K |
| 14 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $150K |
| 15 | Quest Diagnostics Venture Llc Pittsburgh, PA · Clinical Medical Laboratory | $134K |
| 16 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $129K |
| 17 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $128K |
| 18 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $118K |
| 19 | Berkshire Medical Center, Inc Pittsfield, MA · General Acute Care Hospital | $108K |
| 20 | 1386643294 | $101K |
Showing top 20 of 712 providers billing this code