86309
HCPCS Procedure Code
HCPCS code 86309 is the #8,364 most-billed Medicaid procedure code, with $3K in payments across 1K claims from 2018–2024. The national median cost per claim is $3.55.
Total Paid
$3K
0.00% of all spending
Total Claims
1K
Providers
6
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 86309? Based on 6 providers billing this code nationally.
Median
$3.55
Average
$3.89
Std Dev
$2.32
Max
$8.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.59 and $4.13 per claim for this code.
90% bill between $1.90 and $6.21.
Top 1% bill above $7.97.
About This Procedure
HCPCS code 86309 was billed by 6 providers across 1K claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.55
Providers Billing
6
National Spending
$3K
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86309
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750381281 | $2K |
| 2 | 1295718450 | $576 |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $568 |
| 4 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $363 |
| 5 | Trustees Of The University Of Pennsylvania Philadelphia, PA · Community/Behavioral Health | $114 |
| 6 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $48 |
Showing top 6 of 6 providers billing this code