Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6353 of 11K

84206

HCPCS Procedure Code

HCPCS code 84206 is the #6,353 most-billed Medicaid procedure code, with $72K in payments across 7K claims from 2018–2024. The national median cost per claim is $10.64.

Total Paid

$72K

0.00% of all spending

Total Claims

7K

Providers

19

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 84206? Based on 18 providers billing this code nationally.

Median

$10.64

Average

$9.29

Std Dev

$4.81

Max

$17.02

Percentile Distribution (Cost per Claim)

p10
$1.47
p25
$7.98
Median
$10.64
p75
$12.16
p90
$14.15
p95
$15.13
p99
$16.64

50% of providers bill between $7.98 and $12.16 per claim for this code.

90% bill between $1.47 and $14.15.

Top 1% bill above $16.64.

About This Procedure

HCPCS code 84206 was billed by 19 providers across 7K claims, totaling $72K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.64

Providers Billing

18

National Spending

$72K

Avg/Median Ratio

0.87×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84206

#ProviderTotal Paid
11619376316$38K
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$22K
31780620526$4K
4Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$3K
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$1K
61144680885$799
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$708
81285014282$649
9Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$412
10Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$295
11Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$273
12Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$234
131356307581$221
14Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$177
15Quest Diagnostics Incorporated

Las Vegas, NV · Clinical Medical Laboratory

$107
161821546680$100
17Laboratory Corporation Of America

Phoenix, AZ · Clinical Medical Laboratory

$57
18Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$20
191366808388$0

Showing top 19 of 19 providers billing this code