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#3380 of 11K

86777

HCPCS Procedure Code

HCPCS code 86777 is the #3,380 most-billed Medicaid procedure code, with $1.8M in payments across 243K claims from 2018–2024. The national median cost per claim is $8.44.

Total Paid

$1.8M

0.00% of all spending

Total Claims

243K

Providers

180

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 86777? Based on 173 providers billing this code nationally.

Median

$8.44

Average

$9.08

Std Dev

$5.39

Max

$30.39

Percentile Distribution (Cost per Claim)

p10
$2.13
p25
$5.58
Median
$8.44
p75
$12.40
p90
$15.00
p95
$17.73
p99
$26.59

50% of providers bill between $5.58 and $12.40 per claim for this code.

90% bill between $2.13 and $15.00.

Top 1% bill above $26.59.

About This Procedure

HCPCS code 86777 was billed by 180 providers across 243K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 229K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.44

Providers Billing

173

National Spending

$1.8M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86777

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$185K
2Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$175K
3Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$167K
4Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$110K
5Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$107K
6Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$65K
7Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$53K
8Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$46K
9Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$45K
101447233861$43K
11Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$42K
12Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$35K
13Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$34K
141447477252$33K
15Quest Diagnostics Incorporated Md

Baltimore, MD · Clinical Medical Laboratory

$27K
16Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$26K
17Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$26K
18Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$25K
19Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$23K
20Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$23K

Showing top 20 of 180 providers billing this code