86645
HCPCS Procedure Code
HCPCS code 86645 is the #3,281 most-billed Medicaid procedure code, with $2.0M in payments across 258K claims from 2018–2024. The national median cost per claim is $9.15.
Total Paid
$2.0M
0.00% of all spending
Total Claims
258K
Providers
227
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86645? Based on 219 providers billing this code nationally.
Median
$9.15
Average
$10.38
Std Dev
$10.73
Max
$136.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.14 and $13.68 per claim for this code.
90% bill between $2.09 and $17.37.
Top 1% bill above $30.10.
About This Procedure
HCPCS code 86645 was billed by 227 providers across 258K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 245K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.15
Providers Billing
219
National Spending
$2.0M
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86645
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $215K |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $204K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $197K |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $98K |
| 5 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $85K |
| 6 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $79K |
| 7 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $67K |
| 8 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $51K |
| 9 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $48K |
| 10 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $45K |
| 11 | 1447233861 | $45K |
| 12 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $39K |
| 13 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $39K |
| 14 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $37K |
| 15 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $36K |
| 16 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $35K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $34K |
| 18 | 1235186800 | $29K |
| 19 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $28K |
| 20 | 1891873303 | $26K |
Showing top 20 of 227 providers billing this code