86658
HCPCS Procedure Code
HCPCS code 86658 is the #5,807 most-billed Medicaid procedure code, with $135K in payments across 7K claims from 2018–2024. The national median cost per claim is $19.31.
Total Paid
$135K
0.00% of all spending
Total Claims
7K
Providers
17
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 86658? Based on 17 providers billing this code nationally.
Median
$19.31
Average
$18.36
Std Dev
$12.40
Max
$43.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.90 and $25.35 per claim for this code.
90% bill between $3.13 and $33.15.
Top 1% bill above $42.63.
About This Procedure
HCPCS code 86658 was billed by 17 providers across 7K claims, totaling $135K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.31
Providers Billing
17
National Spending
$135K
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86658
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $72K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $18K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $18K |
| 4 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $7K |
| 5 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $7K |
| 6 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $4K |
| 7 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $3K |
| 8 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $2K |
| 9 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $989 |
| 10 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $903 |
| 11 | 1205928793 | $648 |
| 12 | 1548208440 | $396 |
| 13 | Berkshire Medical Center, Inc Pittsfield, MA · General Acute Care Hospital | $276 |
| 14 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $259 |
| 15 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $132 |
| 16 | 1124130653 | $103 |
| 17 | 1982091617 | $55 |
Showing top 17 of 17 providers billing this code