86602
HCPCS Procedure Code
HCPCS code 86602 is the #7,256 most-billed Medicaid procedure code, with $23K in payments across 3K claims from 2018–2024. The national median cost per claim is $5.46.
Total Paid
$23K
0.00% of all spending
Total Claims
3K
Providers
5
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86602? Based on 5 providers billing this code nationally.
Median
$5.46
Average
$5.01
Std Dev
$3.30
Max
$8.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.57 and $7.86 per claim for this code.
90% bill between $1.49 and $8.17.
Top 1% bill above $8.35.
About This Procedure
HCPCS code 86602 was billed by 5 providers across 3K claims, totaling $23K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.46
Providers Billing
5
National Spending
$23K
Avg/Median Ratio
0.92×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86602
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $23K |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $133 |
| 3 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $118 |
| 4 | 1194254219 | $93 |
| 5 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $40 |
Showing top 5 of 5 providers billing this code