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#2551 of 11K

86664

HCPCS Procedure Code

HCPCS code 86664 is the #2,551 most-billed Medicaid procedure code, with $5.0M in payments across 594K claims from 2018–2024. The national median cost per claim is $9.96.

Total Paid

$5.0M

0.00% of all spending

Total Claims

594K

Providers

412

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 86664? Based on 395 providers billing this code nationally.

Median

$9.96

Average

$11.28

Std Dev

$8.78

Max

$100.82

Percentile Distribution (Cost per Claim)

p10
$2.56
p25
$5.95
Median
$9.96
p75
$14.40
p90
$19.23
p95
$23.52
p99
$38.77

50% of providers bill between $5.95 and $14.40 per claim for this code.

90% bill between $2.56 and $19.23.

Top 1% bill above $38.77.

About This Procedure

HCPCS code 86664 was billed by 412 providers across 594K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 565K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.96

Providers Billing

395

National Spending

$5.0M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86664

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$406K
2Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$303K
3Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$274K
4Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$232K
5Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$158K
6Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$149K
7Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$143K
8Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$142K
9Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$133K
10Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$112K
11Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$108K
12Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$93K
13Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$84K
14Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$83K
15Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$78K
16Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$75K
17Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$74K
18Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$62K
19The Miriam Hospital

Providence, RI · General Acute Care Hospital

$54K
20Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$54K

Showing top 20 of 412 providers billing this code