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#3049 of 11K

86707

HCPCS Procedure Code

HCPCS code 86707 is the #3,049 most-billed Medicaid procedure code, with $2.7M in payments across 474K claims from 2018–2024. The national median cost per claim is $6.80.

Total Paid

$2.7M

0.00% of all spending

Total Claims

474K

Providers

166

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 86707? Based on 154 providers billing this code nationally.

Median

$6.80

Average

$7.81

Std Dev

$7.68

Max

$77.71

Percentile Distribution (Cost per Claim)

p10
$1.52
p25
$4.20
Median
$6.80
p75
$9.81
p90
$11.37
p95
$19.51
p99
$29.26

50% of providers bill between $4.20 and $9.81 per claim for this code.

90% bill between $1.52 and $11.37.

Top 1% bill above $29.26.

About This Procedure

HCPCS code 86707 was billed by 166 providers across 474K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 462K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.80

Providers Billing

154

National Spending

$2.7M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86707

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$699K
2Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$260K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$210K
4Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$188K
5Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$160K
6Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$105K
7Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$102K
8Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$88K
9Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$52K
10Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$50K
11Ammon Analytical Laboratories Llc

Linden, NJ · Clinical Medical Laboratory

$49K
12Sherman Abrams Laboratory Inc

Brooklyn, NY · Clinical Medical Laboratory

$41K
13Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$40K
14Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$36K
15Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$32K
16Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$29K
17Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$27K
18Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$25K
19Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$24K
20Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$24K

Showing top 20 of 166 providers billing this code