Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5174 of 11K

86648

HCPCS Procedure Code

HCPCS code 86648 is the #5,174 most-billed Medicaid procedure code, with $269K in payments across 42K claims from 2018–2024. The national median cost per claim is $7.62.

Total Paid

$269K

0.00% of all spending

Total Claims

42K

Providers

35

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 86648? Based on 34 providers billing this code nationally.

Median

$7.62

Average

$8.37

Std Dev

$7.87

Max

$45.03

Percentile Distribution (Cost per Claim)

p10
$1.50
p25
$4.23
Median
$7.62
p75
$9.70
p90
$12.66
p95
$18.78
p99
$36.37

50% of providers bill between $4.23 and $9.70 per claim for this code.

90% bill between $1.50 and $12.66.

Top 1% bill above $36.37.

About This Procedure

HCPCS code 86648 was billed by 35 providers across 42K claims, totaling $269K in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.62

Providers Billing

34

National Spending

$269K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86648

#ProviderTotal Paid
1Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$100K
2Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$38K
3Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$18K
41447296272$17K
5Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$16K
6Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$14K
7Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$13K
8Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$9K
9Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$9K
10Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$5K
11Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$5K
12Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$4K
13Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$4K
14Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$3K
15Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$2K
16Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$2K
171124130653$2K
181316983158$2K
191780620526$2K
201194971085$1K

Showing top 20 of 35 providers billing this code