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#3719 of 11K

86682

HCPCS Procedure Code

HCPCS code 86682 is the #3,719 most-billed Medicaid procedure code, with $1.3M in payments across 145K claims from 2018–2024. The national median cost per claim is $9.26.

Total Paid

$1.3M

0.00% of all spending

Total Claims

145K

Providers

145

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 86682? Based on 128 providers billing this code nationally.

Median

$9.26

Average

$11.75

Std Dev

$18.59

Max

$166.61

Percentile Distribution (Cost per Claim)

p10
$1.75
p25
$6.08
Median
$9.26
p75
$12.24
p90
$16.46
p95
$23.24
p99
$108.02

50% of providers bill between $6.08 and $12.24 per claim for this code.

90% bill between $1.75 and $16.46.

Top 1% bill above $108.02.

About This Procedure

HCPCS code 86682 was billed by 145 providers across 145K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 131K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.26

Providers Billing

128

National Spending

$1.3M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86682

#ProviderTotal Paid
1Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$257K
2Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$93K
31780620526$82K
4Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$81K
5Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$65K
6Alameda Health System

Oakland, CA · General Acute Care Hospital

$58K
7Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$55K
8Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$50K
91548208440$45K
10Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$30K
11Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$29K
121376548271$28K
131689624686$27K
141124130653$24K
15Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$20K
16Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$19K
17County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$18K
18Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$16K
19Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$15K
201891731626$15K

Showing top 20 of 145 providers billing this code