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#6530 of 11K

86723

HCPCS Procedure Code

HCPCS code 86723 is the #6,530 most-billed Medicaid procedure code, with $58K in payments across 7K claims from 2018–2024. The national median cost per claim is $7.14.

Total Paid

$58K

0.00% of all spending

Total Claims

7K

Providers

2

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 86723? Based on 2 providers billing this code nationally.

Median

$7.14

Average

$7.14

Std Dev

$1.24

Max

$8.01

Percentile Distribution (Cost per Claim)

p10
$6.44
p25
$6.70
Median
$7.14
p75
$7.58
p90
$7.84
p95
$7.93
p99
$8.00

50% of providers bill between $6.70 and $7.58 per claim for this code.

90% bill between $6.44 and $7.84.

Top 1% bill above $8.00.

About This Procedure

HCPCS code 86723 was billed by 2 providers across 7K claims, totaling $58K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.14

Providers Billing

2

National Spending

$58K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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