86301
HCPCS Procedure Code
HCPCS code 86301 is the #2,915 most-billed Medicaid procedure code, with $3.1M in payments across 368K claims from 2018–2024. The national median cost per claim is $9.54.
Total Paid
$3.1M
0.00% of all spending
Total Claims
368K
Providers
303
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86301? Based on 286 providers billing this code nationally.
Median
$9.54
Average
$10.25
Std Dev
$7.28
Max
$64.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.71 and $15.24 per claim for this code.
90% bill between $1.99 and $18.50.
Top 1% bill above $27.21.
About This Procedure
HCPCS code 86301 was billed by 303 providers across 368K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 319K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.54
Providers Billing
286
National Spending
$3.1M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86301
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $228K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $163K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $130K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $119K |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $97K |
| 6 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $91K |
| 7 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $84K |
| 8 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $75K |
| 9 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $58K |
| 10 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $58K |
| 11 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $57K |
| 12 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $52K |
| 13 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $49K |
| 14 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $49K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $39K |
| 16 | 1396287082 | $39K |
| 17 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $36K |
| 18 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $35K |
| 19 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $35K |
| 20 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $35K |
Showing top 20 of 303 providers billing this code