86906
HCPCS Procedure Code
HCPCS code 86906 is the #6,912 most-billed Medicaid procedure code, with $37K in payments across 23K claims from 2018–2024. The national median cost per claim is $4.38.
Total Paid
$37K
0.00% of all spending
Total Claims
23K
Providers
12
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 86906? Based on 11 providers billing this code nationally.
Median
$4.38
Average
$4.21
Std Dev
$2.74
Max
$10.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.35 and $5.41 per claim for this code.
90% bill between $0.72 and $6.28.
Top 1% bill above $9.79.
About This Procedure
HCPCS code 86906 was billed by 12 providers across 23K claims, totaling $37K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.38
Providers Billing
11
National Spending
$37K
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86906
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1922033547 | $17K |
| 2 | 1689635773 | $7K |
| 3 | 1518415991 | $4K |
| 4 | 1730119553 | $4K |
| 5 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $2K |
| 6 | 1245415314 | $847 |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $639 |
| 8 | 1003858408 | $602 |
| 9 | 1639179328 | $142 |
| 10 | 1689215030 | $94 |
| 11 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $89 |
| 12 | 1588748073 | $0 |
Showing top 12 of 12 providers billing this code