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#4130 of 11K

87109

HCPCS Procedure Code

HCPCS code 87109 is the #4,130 most-billed Medicaid procedure code, with $821K in payments across 103K claims from 2018–2024. The national median cost per claim is $8.72.

Total Paid

$821K

0.00% of all spending

Total Claims

103K

Providers

109

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 87109? Based on 109 providers billing this code nationally.

Median

$8.72

Average

$9.14

Std Dev

$5.37

Max

$27.10

Percentile Distribution (Cost per Claim)

p10
$2.87
p25
$5.61
Median
$8.72
p75
$12.03
p90
$15.02
p95
$19.70
p99
$25.32

50% of providers bill between $5.61 and $12.03 per claim for this code.

90% bill between $2.87 and $15.02.

Top 1% bill above $25.32.

About This Procedure

HCPCS code 87109 was billed by 109 providers across 103K claims, totaling $821K in Medicaid payments from 2018–2024. This code was used for 97K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.72

Providers Billing

109

National Spending

$821K

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87109

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$219K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$126K
3Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$57K
4Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$56K
51770973646$32K
6Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$30K
7Southern Ohio Medical Center

Portsmouth, OH · Clinical Medical Laboratory

$22K
8Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$21K
9Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$20K
101346285988$18K
11Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$15K
12Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$13K
13Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$13K
141932414463$12K
15Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$11K
16Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$9K
17Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$9K
18Kern County Hospital Authority

Bakersfield, CA · General Acute Care Hospital

$8K
19Bethesda Hospital Inc

Cincinnati, OH · General Acute Care Hospital

$7K
20Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$7K

Showing top 20 of 109 providers billing this code