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#7831 of 11K

86904

HCPCS Procedure Code

HCPCS code 86904 is the #7,831 most-billed Medicaid procedure code, with $9K in payments across 2K claims from 2018–2024. The national median cost per claim is $3.85. Costs vary widely — the 90th percentile is $10.53 per claim, 2.7× the median.

Total Paid

$9K

0.00% of all spending

Total Claims

2K

Providers

8

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 86904? Based on 6 providers billing this code nationally.

Median

$3.85

Average

$5.10

Std Dev

$5.00

Max

$13.44

Percentile Distribution (Cost per Claim)

p10
$0.92
p25
$1.27
Median
$3.85
p75
$7.26
p90
$10.53
p95
$11.99
p99
$13.15

50% of providers bill between $1.27 and $7.26 per claim for this code.

90% bill between $0.92 and $10.53.

Top 1% bill above $13.15.

About This Procedure

HCPCS code 86904 was billed by 8 providers across 2K claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.85

Providers Billing

6

National Spending

$9K

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86904

#ProviderTotal Paid
11568469997$5K
21902010903$4K
31861494072$387
41740265347$188
51972503647$124
61235265851$35
7Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$0
81134183791$0

Showing top 8 of 8 providers billing this code