86821
HCPCS Procedure Code
HCPCS code 86821 is the #7,058 most-billed Medicaid procedure code, with $30K in payments across 651 claims from 2018–2024. The national median cost per claim is $45.56.
Total Paid
$30K
0.00% of all spending
Total Claims
651
Providers
1
Avg Cost/Claim
$46
National Cost Distribution
How much do providers bill per claim for 86821? Based on 1 providers billing this code nationally.
Median
$45.56
Average
$45.56
Std Dev
—
Max
$45.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.56 and $45.56 per claim for this code.
90% bill between $45.56 and $45.56.
Top 1% bill above $45.56.
About This Procedure
HCPCS code 86821 was billed by 1 providers across 651 claims, totaling $30K in Medicaid payments from 2018–2024. This code was used for 595 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$45.56
Providers Billing
1
National Spending
$30K
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.