86774
HCPCS Procedure Code
HCPCS code 86774 is the #4,540 most-billed Medicaid procedure code, with $525K in payments across 69K claims from 2018–2024. The national median cost per claim is $7.94.
Total Paid
$525K
0.00% of all spending
Total Claims
69K
Providers
61
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86774? Based on 57 providers billing this code nationally.
Median
$7.94
Average
$8.82
Std Dev
$7.20
Max
$45.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.37 and $10.83 per claim for this code.
90% bill between $2.16 and $15.01.
Top 1% bill above $35.15.
About This Procedure
HCPCS code 86774 was billed by 61 providers across 69K claims, totaling $525K in Medicaid payments from 2018–2024. This code was used for 67K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.94
Providers Billing
57
National Spending
$525K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86774
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $128K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $85K |
| 3 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $43K |
| 4 | Children's Hospital Corporation Boston, MA · Clinic/Center | $29K |
| 5 | 1447296272 | $28K |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $26K |
| 7 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $22K |
| 8 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $16K |
| 9 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $14K |
| 10 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $14K |
| 11 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $13K |
| 12 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $12K |
| 13 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $11K |
| 14 | 1922008150 | $10K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $9K |
| 16 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $8K |
| 17 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $5K |
| 18 | 1124130653 | $5K |
| 19 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $5K |
| 20 | 1780620526 | $4K |
Showing top 20 of 61 providers billing this code