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#7665 of 11K

93986

HCPCS Procedure Code

HCPCS code 93986 is the #7,665 most-billed Medicaid procedure code, with $12K in payments across 459 claims from 2018–2024. The national median cost per claim is $30.52.

Total Paid

$12K

0.00% of all spending

Total Claims

459

Providers

11

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for 93986? Based on 11 providers billing this code nationally.

Median

$30.52

Average

$37.85

Std Dev

$31.56

Max

$115.96

Percentile Distribution (Cost per Claim)

p10
$8.39
p25
$12.58
Median
$30.52
p75
$51.72
p90
$54.39
p95
$85.17
p99
$109.80

50% of providers bill between $12.58 and $51.72 per claim for this code.

90% bill between $8.39 and $54.39.

Top 1% bill above $109.80.

About This Procedure

HCPCS code 93986 was billed by 11 providers across 459 claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 413 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.52

Providers Billing

11

National Spending

$12K

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93986

#ProviderTotal Paid
11972790863$4K
21427577840$2K
3Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$2K
41881901163$1K
51710959150$804
61083834352$697
71215148002$653
8Montefiore Medical Center

Bronx, NY · Anesthesiology

$366
91578942512$274
101821185786$180
111790867950$101

Showing top 11 of 11 providers billing this code