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#2291 of 11K

86701

HCPCS Procedure Code

HCPCS code 86701 is the #2,291 most-billed Medicaid procedure code, with $7.1M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $8.03.

Total Paid

$7.1M

0.00% of all spending

Total Claims

1.1M

Providers

911

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 86701? Based on 843 providers billing this code nationally.

Median

$8.03

Average

$7.79

Std Dev

$6.63

Max

$98.43

Percentile Distribution (Cost per Claim)

p10
$2.00
p25
$5.37
Median
$8.03
p75
$9.09
p90
$9.83
p95
$11.80
p99
$36.66

50% of providers bill between $5.37 and $9.09 per claim for this code.

90% bill between $2.00 and $9.83.

Top 1% bill above $36.66.

About This Procedure

HCPCS code 86701 was billed by 911 providers across 1.1M claims, totaling $7.1M in Medicaid payments from 2018–2024. This code was used for 987K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.03

Providers Billing

843

National Spending

$7.1M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86701

#ProviderTotal Paid
1Henry Ford Health St. John Hospital

Chicago, IL · Clinic/Center, Ambulatory Surgical

$357K
21477640258$256K
3The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$237K
41972625499$200K
51790750529$144K
61215930987$139K
7Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$128K
8Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$123K
91700106291$123K
101578731618$119K
11Upmc Magee-womens Hospital

Pittsburgh, PA · General Acute Care Hospital

$112K
121568405793$111K
13Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$111K
141104961903$102K
151396316212$98K
161124060843$97K
171073587937$88K
181386764744$77K
191548374549$73K
201952869612$70K

Showing top 20 of 911 providers billing this code