86684
HCPCS Procedure Code
HCPCS code 86684 is the #5,692 most-billed Medicaid procedure code, with $153K in payments across 20K claims from 2018–2024. The national median cost per claim is $8.69.
Total Paid
$153K
0.00% of all spending
Total Claims
20K
Providers
34
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86684? Based on 29 providers billing this code nationally.
Median
$8.69
Average
$8.15
Std Dev
$5.35
Max
$21.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.49 and $11.81 per claim for this code.
90% bill between $2.30 and $14.10.
Top 1% bill above $20.36.
About This Procedure
HCPCS code 86684 was billed by 34 providers across 20K claims, totaling $153K in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.69
Providers Billing
29
National Spending
$153K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86684
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1528817459 | $86K |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $18K |
| 3 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $11K |
| 4 | 1578113221 | $6K |
| 5 | 1447296272 | $5K |
| 6 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $5K |
| 7 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $5K |
| 8 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $3K |
| 9 | 1659969376 | $3K |
| 10 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $2K |
| 11 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $2K |
| 12 | 1316241102 | $969 |
| 13 | 1922008150 | $929 |
| 14 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $900 |
| 15 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $759 |
| 16 | 1285164046 | $689 |
| 17 | 1780620526 | $660 |
| 18 | 1972888139 | $573 |
| 19 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $495 |
| 20 | 1750124756 | $330 |
Showing top 20 of 34 providers billing this code