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#2790 of 11K

86593

HCPCS Procedure Code

HCPCS code 86593 is the #2,790 most-billed Medicaid procedure code, with $3.6M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $2.84.

Total Paid

$3.6M

0.00% of all spending

Total Claims

1.6M

Providers

608

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 86593? Based on 516 providers billing this code nationally.

Median

$2.84

Average

$3.45

Std Dev

$5.96

Max

$87.78

Percentile Distribution (Cost per Claim)

p10
$0.54
p25
$1.76
Median
$2.84
p75
$3.89
p90
$4.87
p95
$6.67
p99
$24.42

50% of providers bill between $1.76 and $3.89 per claim for this code.

90% bill between $0.54 and $4.87.

Top 1% bill above $24.42.

About This Procedure

HCPCS code 86593 was billed by 608 providers across 1.6M claims, totaling $3.6M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.84

Providers Billing

516

National Spending

$3.6M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86593

#ProviderTotal Paid
11235290651$391K
2Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$222K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$193K
4Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$143K
5Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$129K
6Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$113K
7Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$105K
8Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$98K
9Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$84K
10Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$75K
11Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$71K
12Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$68K
13State Of New Mexico

Santa Fe, NM · Public Health or Welfare

$49K
14Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$47K
15Summa Health System

Akron, OH · General Acute Care Hospital

$47K
16Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$45K
171447477252$40K
181154443034$40K
19New York City Health And Hospitals Corporation

Elmhurst, NY · Internal Medicine

$36K
20New York City Health And Hospitals Corporation

Brooklyn, NY · Internal Medicine

$35K

Showing top 20 of 608 providers billing this code