86628
HCPCS Procedure Code
HCPCS code 86628 is the #6,598 most-billed Medicaid procedure code, with $53K in payments across 4K claims from 2018–2024. The national median cost per claim is $11.55.
Total Paid
$53K
0.00% of all spending
Total Claims
4K
Providers
17
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 86628? Based on 16 providers billing this code nationally.
Median
$11.55
Average
$12.49
Std Dev
$8.16
Max
$33.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.13 and $16.99 per claim for this code.
90% bill between $4.24 and $20.43.
Top 1% bill above $31.62.
About This Procedure
HCPCS code 86628 was billed by 17 providers across 4K claims, totaling $53K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.55
Providers Billing
16
National Spending
$53K
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86628
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780620526 | $20K |
| 2 | 1124130653 | $11K |
| 3 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $9K |
| 4 | 1316983158 | $8K |
| 5 | 1205840634 | $1K |
| 6 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $1K |
| 7 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $800 |
| 8 | Accurate Diagnostics Labs, Inc. South Plainfield, NJ · Clinical Medical Laboratory | $443 |
| 9 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $320 |
| 10 | 1710065933 | $251 |
| 11 | 1972904415 | $202 |
| 12 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $171 |
| 13 | 1073587937 | $155 |
| 14 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $102 |
| 15 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $86 |
| 16 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $27 |
| 17 | 1720271513 | $0 |
Showing top 17 of 17 providers billing this code