86305
HCPCS Procedure Code
HCPCS code 86305 is the #6,429 most-billed Medicaid procedure code, with $66K in payments across 6K claims from 2018–2024. The national median cost per claim is $11.59.
Total Paid
$66K
0.00% of all spending
Total Claims
6K
Providers
9
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 86305? Based on 9 providers billing this code nationally.
Median
$11.59
Average
$10.43
Std Dev
$7.38
Max
$19.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.62 and $18.33 per claim for this code.
90% bill between $1.73 and $18.50.
Top 1% bill above $19.06.
About This Procedure
HCPCS code 86305 was billed by 9 providers across 6K claims, totaling $66K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.59
Providers Billing
9
National Spending
$66K
Avg/Median Ratio
0.90×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86305
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Rochester Rochester, NY · General Acute Care Hospital | $27K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $18K |
| 3 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $14K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $5K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1K |
| 6 | 1861409823 | $477 |
| 7 | Rochester General Hospital-lab Rochester, NY · Clinical Medical Laboratory | $293 |
| 8 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $198 |
| 9 | 1205477957 | $79 |
Showing top 9 of 9 providers billing this code