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#2380 of 11K

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)

p10
$5.81
p25
$10.32
Median
$15.72
p75
$24.08
p90
$38.74
p95
$42.73
p99
$60.10

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

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$939K
2Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$855K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$532K
4Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$468K
5Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$346K
6Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$283K
7Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$161K
8Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$157K
9The Miriam Hospital

Providence, RI · General Acute Care Hospital

$124K
101861404121$123K
111750373908$114K
12Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$110K
13Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$85K
14Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$82K
15Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$82K
16Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$79K
171972523348$72K
18Sherman Abrams Laboratory Inc

Brooklyn, NY · Clinical Medical Laboratory

$72K
19Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$70K
20Quest Diagnostics Venture Llc

Pittsburgh, PA · Clinical Medical Laboratory

$58K

Showing top 20 of 261 providers billing this code