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#1134 of 11K

87529

HCPCS Procedure Code

HCPCS code 87529 is the #1,134 most-billed Medicaid procedure code, with $38.4M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $24.98. Costs vary widely — the 90th percentile is $55.09 per claim, 2.2× the median.

Total Paid

$38.4M

0.00% of all spending

Total Claims

1.7M

Providers

722

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 87529? Based on 696 providers billing this code nationally.

Median

$24.98

Average

$29.03

Std Dev

$29.03

Max

$394.83

Percentile Distribution (Cost per Claim)

p10
$4.30
p25
$12.33
Median
$24.98
p75
$38.24
p90
$55.09
p95
$65.01
p99
$121.91

50% of providers bill between $12.33 and $38.24 per claim for this code.

90% bill between $4.30 and $55.09.

Top 1% bill above $121.91.

About This Procedure

HCPCS code 87529 was billed by 722 providers across 1.7M claims, totaling $38.4M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.98

Providers Billing

696

National Spending

$38.4M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87529

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$3.8M
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$3.4M
3Healthtrackrx Indiana, Inc

Denton, TX · Clinical Medical Laboratory

$2.2M
41750373908$1.7M
5Physicians Group Laboratories, Llc

Houma, LA · Clinical Medical Laboratory

$1.3M
6Associated Pathologists, Llc

Nashville, TN · Medical Genetics, Clinical Genetics (M.D.)

$1.2M
7Eurofins Diatherix Laboratories Llc

Huntsville, AL · Clinical Medical Laboratory

$1.2M
8Laboratory Corporation Of America

Phoenix, AZ · Clinical Medical Laboratory

$919K
91174009245$760K
10Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$639K
111649407792$624K
121053721373$612K
13A2cl Services, Llc

West Allis, WI · Clinical Medical Laboratory

$584K
14Laboratory Corporation Of America Holdings

Charleston, WV · Clinical Medical Laboratory

$504K
151033239413$469K
16Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$454K
17Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$346K
18Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$339K
191316148125$330K
201245382753$327K

Showing top 20 of 722 providers billing this code