86702
HCPCS Procedure Code
HCPCS code 86702 is the #2,694 most-billed Medicaid procedure code, with $4.1M in payments across 576K claims from 2018–2024. The national median cost per claim is $7.25.
Total Paid
$4.1M
0.00% of all spending
Total Claims
576K
Providers
254
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 86702? Based on 236 providers billing this code nationally.
Median
$7.25
Average
$7.75
Std Dev
$6.69
Max
$72.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.88 and $10.40 per claim for this code.
90% bill between $2.07 and $13.07.
Top 1% bill above $20.03.
About This Procedure
HCPCS code 86702 was billed by 254 providers across 576K claims, totaling $4.1M in Medicaid payments from 2018–2024. This code was used for 536K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.25
Providers Billing
236
National Spending
$4.1M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86702
| # | Provider | Total Paid |
|---|---|---|
| 1 | Henry Ford Health St. John Hospital Chicago, IL · Clinic/Center, Ambulatory Surgical | $543K |
| 2 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $282K |
| 3 | 1215930987 | $212K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $208K |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $169K |
| 6 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $164K |
| 7 | 1972625499 | $162K |
| 8 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $155K |
| 9 | 1568405793 | $148K |
| 10 | Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital | $127K |
| 11 | 1073587937 | $115K |
| 12 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $98K |
| 13 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $84K |
| 14 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $63K |
| 15 | 1013902923 | $56K |
| 16 | 1477640258 | $48K |
| 17 | 1285011924 | $48K |
| 18 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $47K |
| 19 | 1225035132 | $46K |
| 20 | 1386915700 | $46K |
Showing top 20 of 254 providers billing this code