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#5131 of 11K

86781

HCPCS Procedure Code

HCPCS code 86781 is the #5,131 most-billed Medicaid procedure code, with $280K in payments across 15K claims from 2018–2024. The national median cost per claim is $18.27.

Total Paid

$280K

0.00% of all spending

Total Claims

15K

Providers

1

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 86781? Based on 1 providers billing this code nationally.

Median

$18.27

Average

$18.27

Std Dev

Max

$18.27

Percentile Distribution (Cost per Claim)

p10
$18.27
p25
$18.27
Median
$18.27
p75
$18.27
p90
$18.27
p95
$18.27
p99
$18.27

50% of providers bill between $18.27 and $18.27 per claim for this code.

90% bill between $18.27 and $18.27.

Top 1% bill above $18.27.

About This Procedure

HCPCS code 86781 was billed by 1 providers across 15K claims, totaling $280K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.27

Providers Billing

1

National Spending

$280K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.