86769
Antibody, SARS-CoV-2 (COVID-19)
Antibody, SARS-CoV-2 (COVID-19) is the #682 most-billed Medicaid procedure code, with $107.1M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $26.94.
Total Paid
$107.1M
0.01% of all spending
Total Claims
3.3M
Providers
1K
Avg Cost/Claim
$32
National Cost Distribution
How much do providers bill per claim for 86769? Based on 1K providers billing this code nationally.
Median
$26.94
Average
$25.79
Std Dev
$15.28
Max
$221.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.86 and $35.30 per claim for this code.
90% bill between $4.89 and $41.41.
Top 1% bill above $65.50.
About This Procedure
HCPCS code 86769 (Antibody, SARS-CoV-2 (COVID-19)) was billed by 1K providers across 3.3M claims, totaling $107.1M in Medicaid payments from 2018–2024. This code was used for 3.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.94
Providers Billing
1K
National Spending
$107.1M
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86769
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $14.8M |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $14.8M |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $9.5M |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $5.6M |
| 5 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $5.2M |
| 6 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $4.9M |
| 7 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $3.0M |
| 8 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $2.9M |
| 9 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $2.8M |
| 10 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $2.0M |
| 11 | Accurate Diagnostics Labs, Inc. South Plainfield, NJ · Clinical Medical Laboratory | $2.0M |
| 12 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $1.8M |
| 13 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.7M |
| 14 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $1.6M |
| 15 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $1.4M |
| 16 | 1821057407 | $1.3M |
| 17 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $925K |
| 18 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $885K |
| 19 | 1801861190 | $784K |
| 20 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $735K |
Showing top 20 of 1K providers billing this code