86778
HCPCS Procedure Code
HCPCS code 86778 is the #3,800 most-billed Medicaid procedure code, with $1.2M in payments across 151K claims from 2018–2024. The national median cost per claim is $8.43.
Total Paid
$1.2M
0.00% of all spending
Total Claims
151K
Providers
118
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86778? Based on 114 providers billing this code nationally.
Median
$8.43
Average
$9.70
Std Dev
$11.39
Max
$118.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.52 and $11.60 per claim for this code.
90% bill between $2.95 and $14.08.
Top 1% bill above $31.94.
About This Procedure
HCPCS code 86778 was billed by 118 providers across 151K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 144K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.43
Providers Billing
114
National Spending
$1.2M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86778
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $117K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $96K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $94K |
| 4 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $92K |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $88K |
| 6 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $43K |
| 7 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $41K |
| 8 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $41K |
| 9 | 1447233861 | $39K |
| 10 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $27K |
| 11 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $26K |
| 12 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $25K |
| 13 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $25K |
| 14 | 1265418669 | $24K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $21K |
| 16 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $20K |
| 17 | Quest Diagnostics Incorporated Md Baltimore, MD · Clinical Medical Laboratory | $18K |
| 18 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $18K |
| 19 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $18K |
| 20 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $17K |
Showing top 20 of 118 providers billing this code