86671
HCPCS Procedure Code
HCPCS code 86671 is the #3,973 most-billed Medicaid procedure code, with $968K in payments across 119K claims from 2018–2024. The national median cost per claim is $7.42. Costs vary widely — the 90th percentile is $17.18 per claim, 2.3× the median.
Total Paid
$968K
0.00% of all spending
Total Claims
119K
Providers
56
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86671? Based on 54 providers billing this code nationally.
Median
$7.42
Average
$8.72
Std Dev
$6.07
Max
$25.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.85 and $11.45 per claim for this code.
90% bill between $1.63 and $17.18.
Top 1% bill above $24.98.
About This Procedure
HCPCS code 86671 was billed by 56 providers across 119K claims, totaling $968K in Medicaid payments from 2018–2024. This code was used for 100K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.42
Providers Billing
54
National Spending
$968K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86671
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $257K |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $173K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $104K |
| 4 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $65K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $42K |
| 6 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $34K |
| 7 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $32K |
| 8 | 1770529513 | $30K |
| 9 | 1447296272 | $29K |
| 10 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $28K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $20K |
| 12 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $17K |
| 13 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $14K |
| 14 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $14K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $11K |
| 16 | 1780620526 | $9K |
| 17 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $9K |
| 18 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $8K |
| 19 | Edward W Sparrow Hospital Association Lansing, MI · Rehabilitation, Substance Use Disorder Unit | $7K |
| 20 | 1366460321 | $7K |
Showing top 20 of 56 providers billing this code