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#7787 of 11K

86485

HCPCS Procedure Code

HCPCS code 86485 is the #7,787 most-billed Medicaid procedure code, with $10K in payments across 419 claims from 2018–2024. The national median cost per claim is $24.36.

Total Paid

$10K

0.00% of all spending

Total Claims

419

Providers

3

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 86485? Based on 3 providers billing this code nationally.

Median

$24.36

Average

$19.30

Std Dev

$15.53

Max

$31.68

Percentile Distribution (Cost per Claim)

p10
$6.38
p25
$13.12
Median
$24.36
p75
$28.02
p90
$30.21
p95
$30.94
p99
$31.53

50% of providers bill between $13.12 and $28.02 per claim for this code.

90% bill between $6.38 and $30.21.

Top 1% bill above $31.53.

About This Procedure

HCPCS code 86485 was billed by 3 providers across 419 claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 414 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.36

Providers Billing

3

National Spending

$10K

Avg/Median Ratio

0.79×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.