86880
HCPCS Procedure Code
HCPCS code 86880 is the #3,443 most-billed Medicaid procedure code, with $1.7M in payments across 697K claims from 2018–2024. The national median cost per claim is $2.70. Costs vary widely — the 90th percentile is $13.03 per claim, 4.8× the median.
Total Paid
$1.7M
0.00% of all spending
Total Claims
697K
Providers
561
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 86880? Based on 510 providers billing this code nationally.
Median
$2.70
Average
$5.28
Std Dev
$11.94
Max
$196.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.96 and $3.79 per claim for this code.
90% bill between $0.56 and $13.03.
Top 1% bill above $49.93.
About This Procedure
HCPCS code 86880 was billed by 561 providers across 697K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 629K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.70
Providers Billing
510
National Spending
$1.7M
Avg/Median Ratio
1.96×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 86880
| # | Provider | Total Paid |
|---|---|---|
| 1 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $185K |
| 2 | Integrated Regional Laboratories Pathology Services Llc Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology | $59K |
| 3 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $45K |
| 4 | 1922089242 | $39K |
| 5 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $35K |
| 6 | 1457354656 | $32K |
| 7 | 1356496772 | $32K |
| 8 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $27K |
| 9 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $25K |
| 10 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $23K |
| 11 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $23K |
| 12 | 1972541498 | $21K |
| 13 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $21K |
| 14 | 1487724712 | $18K |
| 15 | 1114902814 | $18K |
| 16 | 1053334755 | $18K |
| 17 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $17K |
| 18 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $17K |
| 19 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $17K |
| 20 | 1003960139 | $16K |
Showing top 20 of 561 providers billing this code