86304
HCPCS Procedure Code
HCPCS code 86304 is the #2,469 most-billed Medicaid procedure code, with $5.6M in payments across 600K claims from 2018–2024. The national median cost per claim is $11.08.
Total Paid
$5.6M
0.00% of all spending
Total Claims
600K
Providers
461
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 86304? Based on 439 providers billing this code nationally.
Median
$11.08
Average
$12.59
Std Dev
$12.28
Max
$188.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.55 and $16.93 per claim for this code.
90% bill between $2.57 and $20.25.
Top 1% bill above $47.37.
About This Procedure
HCPCS code 86304 was billed by 461 providers across 600K claims, totaling $5.6M in Medicaid payments from 2018–2024. This code was used for 534K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.08
Providers Billing
439
National Spending
$5.6M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86304
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $384K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $236K |
| 3 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $201K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $194K |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $158K |
| 6 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $155K |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $133K |
| 8 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $122K |
| 9 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $96K |
| 10 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $93K |
| 11 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $90K |
| 12 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $88K |
| 13 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $87K |
| 14 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $85K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $82K |
| 16 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $74K |
| 17 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $73K |
| 18 | 1164402038 | $67K |
| 19 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $64K |
| 20 | 1891873303 | $61K |
Showing top 20 of 461 providers billing this code