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#3430 of 11K

86812

HLA antigen typing for transplant compatibility

HLA antigen typing for transplant compatibility is the #3,430 most-billed Medicaid procedure code, with $1.7M in payments across 146K claims from 2018–2024. The national median cost per claim is $16.08.

Total Paid

$1.7M

0.00% of all spending

Total Claims

146K

Providers

150

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 86812? Based on 140 providers billing this code nationally.

Median

$16.08

Average

$17.82

Std Dev

$12.41

Max

$96.69

Percentile Distribution (Cost per Claim)

p10
$6.87
p25
$11.48
Median
$16.08
p75
$21.86
p90
$25.31
p95
$31.67
p99
$67.90

50% of providers bill between $11.48 and $21.86 per claim for this code.

90% bill between $6.87 and $25.31.

Top 1% bill above $67.90.

About This Procedure

HCPCS code 86812 (HLA antigen typing for transplant compatibility) was billed by 150 providers across 146K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 141K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.08

Providers Billing

140

National Spending

$1.7M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86812

#ProviderTotal Paid
1Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$193K
2Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$122K
3Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$121K
41447296272$91K
5Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$72K
6Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$71K
7Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$69K
81316983158$55K
91770529513$54K
10Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$48K
11Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$46K
12Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$42K
13Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$40K
14Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$34K
151376548271$33K
16Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$32K
17Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$27K
181457341851$26K
191780620526$24K
201548208440$23K

Showing top 20 of 150 providers billing this code