84260
HCPCS Procedure Code
HCPCS code 84260 is the #6,003 most-billed Medicaid procedure code, with $108K in payments across 9K claims from 2018–2024. The national median cost per claim is $13.13.
Total Paid
$108K
0.00% of all spending
Total Claims
9K
Providers
21
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 84260? Based on 19 providers billing this code nationally.
Median
$13.13
Average
$13.77
Std Dev
$6.45
Max
$25.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.16 and $17.08 per claim for this code.
90% bill between $6.48 and $22.12.
Top 1% bill above $25.84.
About This Procedure
HCPCS code 84260 was billed by 21 providers across 9K claims, totaling $108K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.13
Providers Billing
19
National Spending
$108K
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 84260
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $47K |
| 2 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $16K |
| 3 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $12K |
| 4 | 1780620526 | $11K |
| 5 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $8K |
| 6 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $3K |
| 7 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $3K |
| 8 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $2K |
| 9 | 1316983158 | $2K |
| 10 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $2K |
| 11 | 1447296272 | $1K |
| 12 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $468 |
| 13 | 1376548271 | $363 |
| 14 | 1881626943 | $306 |
| 15 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $284 |
| 16 | Mount Sinai Hospital New York, NY · Ambulance | $264 |
| 17 | 1548370745 | $169 |
| 18 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $77 |
| 19 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $51 |
| 20 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $0 |
Showing top 20 of 21 providers billing this code