70486
HCPCS Procedure Code
HCPCS code 70486 is the #710 most-billed Medicaid procedure code, with $100.4M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $44.28. Costs vary widely — the 90th percentile is $151.54 per claim, 3.4× the median.
Total Paid
$100.4M
0.01% of all spending
Total Claims
1.4M
Providers
2K
Avg Cost/Claim
$71
National Cost Distribution
How much do providers bill per claim for 70486? Based on 2K providers billing this code nationally.
Median
$44.28
Average
$74.12
Std Dev
$101.05
Max
$2,519.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.37 and $91.69 per claim for this code.
90% bill between $21.91 and $151.54.
Top 1% bill above $406.81.
About This Procedure
HCPCS code 70486 was billed by 2K providers across 1.4M claims, totaling $100.4M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$44.28
Providers Billing
2K
National Spending
$100.4M
Avg/Median Ratio
1.67×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 70486
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $2.3M |
| 2 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $1.4M |
| 3 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $1.3M |
| 4 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $912K |
| 5 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $825K |
| 6 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $825K |
| 7 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $804K |
| 8 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $801K |
| 9 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $799K |
| 10 | Alameda Health System Oakland, CA · General Acute Care Hospital | $757K |
| 11 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $753K |
| 12 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $748K |
| 13 | 1568416147 | $657K |
| 14 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $645K |
| 15 | 1972004489 | $622K |
| 16 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $613K |
| 17 | 1548393127 | $605K |
| 18 | University Hospital Newark, NJ · General Acute Care Hospital | $603K |
| 19 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $582K |
| 20 | Sharp Memorial Hospital San Diego, CA · General Acute Care Hospital, Women | $578K |
Showing top 20 of 2K providers billing this code