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#2598 of 11K

88262

HCPCS Procedure Code

HCPCS code 88262 is the #2,598 most-billed Medicaid procedure code, with $4.7M in payments across 80K claims from 2018–2024. The national median cost per claim is $75.67.

Total Paid

$4.7M

0.00% of all spending

Total Claims

80K

Providers

89

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for 88262? Based on 82 providers billing this code nationally.

Median

$75.67

Average

$79.52

Std Dev

$49.76

Max

$323.27

Percentile Distribution (Cost per Claim)

p10
$28.16
p25
$46.79
Median
$75.67
p75
$108.61
p90
$130.58
p95
$169.93
p99
$219.76

50% of providers bill between $46.79 and $108.61 per claim for this code.

90% bill between $28.16 and $130.58.

Top 1% bill above $219.76.

About This Procedure

HCPCS code 88262 was billed by 89 providers across 80K claims, totaling $4.7M in Medicaid payments from 2018–2024. This code was used for 77K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$75.67

Providers Billing

82

National Spending

$4.7M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88262

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$693K
21801197256$333K
3Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$323K
4Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$300K
5Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$275K
6Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$269K
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$232K
81740460583$158K
9Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$153K
10Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$123K
11Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$119K
121780620526$112K
13Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$107K
14Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$98K
15Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$77K
161306875877$76K
17Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$75K
18Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$69K
19Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$66K
201518415991$63K

Showing top 20 of 89 providers billing this code