86360
HCPCS Procedure Code
HCPCS code 86360 is the #1,142 most-billed Medicaid procedure code, with $37.7M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $26.97.
Total Paid
$37.7M
0.00% of all spending
Total Claims
1.6M
Providers
552
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 86360? Based on 522 providers billing this code nationally.
Median
$26.97
Average
$28.23
Std Dev
$21.23
Max
$189.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.69 and $40.27 per claim for this code.
90% bill between $3.89 and $50.27.
Top 1% bill above $101.49.
About This Procedure
HCPCS code 86360 was billed by 552 providers across 1.6M claims, totaling $37.7M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.97
Providers Billing
522
National Spending
$37.7M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86360
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $3.2M |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $3.1M |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $2.5M |
| 4 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $1.4M |
| 5 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $1.2M |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1.1M |
| 7 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $880K |
| 8 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $841K |
| 9 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $567K |
| 10 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $508K |
| 11 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $454K |
| 12 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $448K |
| 13 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $427K |
| 14 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $402K |
| 15 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $376K |
| 16 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $364K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $353K |
| 18 | 1447233861 | $347K |
| 19 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $343K |
| 20 | 1447477252 | $342K |
Showing top 20 of 552 providers billing this code