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#1436 of 11K

86695

Herpes simplex virus antibody detection test

Herpes simplex virus antibody detection test is the #1,436 most-billed Medicaid procedure code, with $23.4M in payments across 3.2M claims from 2018–2024. The national median cost per claim is $9.66.

Total Paid

$23.4M

0.00% of all spending

Total Claims

3.2M

Providers

843

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 86695? Based on 781 providers billing this code nationally.

Median

$9.66

Average

$11.34

Std Dev

$13.78

Max

$185.15

Percentile Distribution (Cost per Claim)

p10
$2.50
p25
$6.41
Median
$9.66
p75
$12.92
p90
$17.36
p95
$22.43
p99
$68.10

50% of providers bill between $6.41 and $12.92 per claim for this code.

90% bill between $2.50 and $17.36.

Top 1% bill above $68.10.

About This Procedure

HCPCS code 86695 (Herpes simplex virus antibody detection test) was billed by 843 providers across 3.2M claims, totaling $23.4M in Medicaid payments from 2018–2024. This code was used for 3.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.66

Providers Billing

781

National Spending

$23.4M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86695

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1.9M
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$1.3M
3Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$1.1M
4Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$1.0M
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$872K
6Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$866K
7Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$708K
8Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$674K
9Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$624K
10Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$507K
11Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$446K
12Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$400K
13Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$391K
14Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$383K
15Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$312K
16Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$312K
17Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$305K
181881626943$300K
19Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$290K
201235186800$290K

Showing top 20 of 843 providers billing this code