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#2915 of 11K

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)

p10
$1.99
p25
$4.71
Median
$9.54
p75
$15.24
p90
$18.50
p95
$20.31
p99
$27.21

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

#ProviderTotal Paid
1Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$228K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$163K
3Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$130K
4Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$119K
5Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$97K
6Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$91K
7Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$84K
8Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$75K
9Stanford Health Care

Stanford, CA · General Acute Care Hospital

$58K
10Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$58K
11Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$57K
12Permanente Medical Group, Inc.

Richmond, CA · Clinical Medical Laboratory

$52K
13Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$49K
14Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$49K
15Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$39K
161396287082$39K
17Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$36K
18City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$35K
19Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$35K
20Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$35K

Showing top 20 of 303 providers billing this code