86677
HCPCS Procedure Code
HCPCS code 86677 is the #2,562 most-billed Medicaid procedure code, with $5.0M in payments across 473K claims from 2018–2024. The national median cost per claim is $9.56. Costs vary widely — the 90th percentile is $19.76 per claim, 2.1× the median.
Total Paid
$5.0M
0.00% of all spending
Total Claims
473K
Providers
431
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 86677? Based on 394 providers billing this code nationally.
Median
$9.56
Average
$11.66
Std Dev
$14.86
Max
$184.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.60 and $13.83 per claim for this code.
90% bill between $1.61 and $19.76.
Top 1% bill above $55.59.
About This Procedure
HCPCS code 86677 was billed by 431 providers across 473K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 434K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.56
Providers Billing
394
National Spending
$5.0M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86677
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $728K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $513K |
| 3 | 1144202003 | $438K |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $359K |
| 5 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $338K |
| 6 | 1598747651 | $225K |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $213K |
| 8 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $120K |
| 9 | 1396813861 | $110K |
| 10 | 1265418669 | $109K |
| 11 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $77K |
| 12 | 1114239068 | $61K |
| 13 | 1972625499 | $60K |
| 14 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $58K |
| 15 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $55K |
| 16 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $54K |
| 17 | Laboratory Corporation Of America Houston, TX · Clinical Medical Laboratory | $50K |
| 18 | 1326107319 | $46K |
| 19 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $40K |
| 20 | 1548370745 | $37K |
Showing top 20 of 431 providers billing this code