87106
HCPCS Procedure Code
HCPCS code 87106 is the #4,453 most-billed Medicaid procedure code, with $583K in payments across 117K claims from 2018–2024. The national median cost per claim is $4.60. Costs vary widely — the 90th percentile is $9.90 per claim, 2.2× the median.
Total Paid
$583K
0.00% of all spending
Total Claims
117K
Providers
168
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 87106? Based on 161 providers billing this code nationally.
Median
$4.60
Average
$5.59
Std Dev
$5.81
Max
$47.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.63 and $7.61 per claim for this code.
90% bill between $0.77 and $9.90.
Top 1% bill above $29.74.
About This Procedure
HCPCS code 87106 was billed by 168 providers across 117K claims, totaling $583K in Medicaid payments from 2018–2024. This code was used for 108K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.60
Providers Billing
161
National Spending
$583K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87106
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $62K |
| 2 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $39K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $36K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $31K |
| 5 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $30K |
| 6 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $22K |
| 7 | Children's Hospital Corporation Boston, MA · Clinic/Center | $20K |
| 8 | 1750373908 | $18K |
| 9 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $18K |
| 10 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $15K |
| 11 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $14K |
| 12 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $14K |
| 13 | Summa Health System Akron, OH · General Acute Care Hospital | $13K |
| 14 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $12K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $12K |
| 16 | 1710916945 | $12K |
| 17 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $11K |
| 18 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $10K |
| 19 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $9K |
| 20 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $8K |
Showing top 20 of 168 providers billing this code