87046
HCPCS Procedure Code
HCPCS code 87046 is the #2,748 most-billed Medicaid procedure code, with $3.9M in payments across 840K claims from 2018–2024. The national median cost per claim is $3.93. Costs vary widely — the 90th percentile is $12.36 per claim, 3.1× the median.
Total Paid
$3.9M
0.00% of all spending
Total Claims
840K
Providers
635
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 87046? Based on 589 providers billing this code nationally.
Median
$3.93
Average
$5.99
Std Dev
$7.98
Max
$119.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.76 and $7.53 per claim for this code.
90% bill between $0.55 and $12.36.
Top 1% bill above $33.67.
About This Procedure
HCPCS code 87046 was billed by 635 providers across 840K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 762K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.93
Providers Billing
589
National Spending
$3.9M
Avg/Median Ratio
1.52×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 87046
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $255K |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $192K |
| 3 | 1548208440 | $181K |
| 4 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $148K |
| 5 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $144K |
| 6 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $137K |
| 7 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $98K |
| 8 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $88K |
| 9 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $87K |
| 10 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $83K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $74K |
| 12 | 1265418669 | $73K |
| 13 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $57K |
| 14 | 1902059538 | $50K |
| 15 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $49K |
| 16 | 1881697464 | $46K |
| 17 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $45K |
| 18 | Children's Hospital Corporation Boston, MA · Clinic/Center | $44K |
| 19 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $40K |
| 20 | 1861404121 | $39K |
Showing top 20 of 635 providers billing this code