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#1661 of 11K

86800

HCPCS Procedure Code

HCPCS code 86800 is the #1,661 most-billed Medicaid procedure code, with $16.7M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $10.63.

Total Paid

$16.7M

0.00% of all spending

Total Claims

2.1M

Providers

817

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 86800? Based on 774 providers billing this code nationally.

Median

$10.63

Average

$10.92

Std Dev

$8.08

Max

$115.24

Percentile Distribution (Cost per Claim)

p10
$2.06
p25
$6.46
Median
$10.63
p75
$14.13
p90
$17.77
p95
$20.28
p99
$37.59

50% of providers bill between $6.46 and $14.13 per claim for this code.

90% bill between $2.06 and $17.77.

Top 1% bill above $37.59.

About This Procedure

HCPCS code 86800 was billed by 817 providers across 2.1M claims, totaling $16.7M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.63

Providers Billing

774

National Spending

$16.7M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86800

#ProviderTotal Paid
1Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$917K
2Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$757K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$751K
4Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$700K
51467586792$642K
6Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$634K
7Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$577K
8Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$472K
9Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$426K
10Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$329K
11Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$316K
12Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$249K
13Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$246K
14Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$241K
15Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$228K
16Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$226K
17Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$205K
181598934200$189K
19Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$181K
201942616024$177K

Showing top 20 of 817 providers billing this code