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#5088 of 11K

E1086

HCPCS Procedure Code

HCPCS code E1086 is the #5,088 most-billed Medicaid procedure code, with $296K in payments across 4,016 claims from 2018–2024. The national median cost per claim is $70.55.

Total Paid

$296K

0.00% of all spending

Total Claims

4,016

Providers

4

Avg Cost/Claim

$74

National Cost Distribution

How much do providers bill per claim for E1086? Based on 4 providers billing this code nationally.

Median

$70.55

Average

$66.11

Std Dev

$19.74

Max

$82.77

Percentile Distribution (Cost per Claim)

p10
$46.57
p25
$55.57
Median
$70.55
p75
$81.10
p90
$82.10
p95
$82.44
p99
$82.71

50% of providers bill between $55.57 and $81.10 per claim for this code.

90% bill between $46.57 and $82.10.

Top 1% bill above $82.71.

About This Procedure

HCPCS code E1086 was billed by 4 providers across 4,016 claims, totaling $296K in Medicaid payments from 2018–2024. This code was used for 3,545 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$70.55

Providers Billing

4

National Spending

$296K

Avg/Median Ratio

0.94×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.