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#4768 of 11K

93786

HCPCS Procedure Code

HCPCS code 93786 is the #4,768 most-billed Medicaid procedure code, with $412K in payments across 7,904 claims from 2018–2024. The national median cost per claim is $56.18. Costs vary widely — the 90th percentile is $121.66 per claim, 2.2× the median.

Total Paid

$412K

0.00% of all spending

Total Claims

7,904

Providers

28

Avg Cost/Claim

$52

National Cost Distribution

How much do providers bill per claim for 93786? Based on 26 providers billing this code nationally.

Median

$56.18

Average

$61.06

Std Dev

$52.34

Max

$194.81

Percentile Distribution (Cost per Claim)

p10
$9.82
p25
$18.75
Median
$56.18
p75
$98.83
p90
$121.66
p95
$150.06
p99
$185.92

50% of providers bill between $18.75 and $98.83 per claim for this code.

90% bill between $9.82 and $121.66.

Top 1% bill above $185.92.

About This Procedure

HCPCS code 93786 was billed by 28 providers across 7,904 claims, totaling $412K in Medicaid payments from 2018–2024. This code was used for 7,584 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.18

Providers Billing

26

National Spending

$412K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93786

#ProviderTotal Paid
1Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$110K
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$54K
3Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$42K
4Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$39K
5Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$37K
6The Children's Mercy Hospital

Kansas City, MO · General Acute Care Hospital Children

$33K
7Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$22K
8Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$20K
9Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$12K
10University Of Texas Medical Branch At Galveston

Galveston, TX · Clinic/Center, Ambulatory Surgical

$6K
111700949336$5K
12Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$5K
13Rochester General Hospital

Rochester, NY · Dentist, General Practice

$5K
141710065933$4K
15Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$4K
161699894857$3K
17State Of Connecticut

Farmington, CT · Counselor, Professional

$3K
18Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$3K
191346297843$2K
20Cook Children's Medical Center

Fort Worth, TX · General Acute Care Hospital Children

$2K

Showing top 20 of 28 providers billing this code