86617
HCPCS Procedure Code
HCPCS code 86617 is the #2,380 most-billed Medicaid procedure code, with $6.2M in payments across 414K claims from 2018–2024. The national median cost per claim is $15.72. Costs vary widely — the 90th percentile is $38.74 per claim, 2.5× the median.
Total Paid
$6.2M
0.00% of all spending
Total Claims
414K
Providers
261
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 86617? Based on 253 providers billing this code nationally.
Median
$15.72
Average
$18.82
Std Dev
$12.69
Max
$85.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.32 and $24.08 per claim for this code.
90% bill between $5.81 and $38.74.
Top 1% bill above $60.10.
About This Procedure
HCPCS code 86617 was billed by 261 providers across 414K claims, totaling $6.2M in Medicaid payments from 2018–2024. This code was used for 377K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.72
Providers Billing
253
National Spending
$6.2M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86617
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $939K |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $855K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $532K |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $468K |
| 5 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $346K |
| 6 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $283K |
| 7 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $161K |
| 8 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $157K |
| 9 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $124K |
| 10 | 1861404121 | $123K |
| 11 | 1750373908 | $114K |
| 12 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $110K |
| 13 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $85K |
| 14 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $82K |
| 15 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $82K |
| 16 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $79K |
| 17 | 1972523348 | $72K |
| 18 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $72K |
| 19 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $70K |
| 20 | Quest Diagnostics Venture Llc Pittsburgh, PA · Clinical Medical Laboratory | $58K |
Showing top 20 of 261 providers billing this code