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#3971 of 11K

87206

HCPCS Procedure Code

HCPCS code 87206 is the #3,971 most-billed Medicaid procedure code, with $971K in payments across 351K claims from 2018–2024. The national median cost per claim is $2.64. Costs vary widely — the 90th percentile is $6.05 per claim, 2.3× the median.

Total Paid

$971K

0.00% of all spending

Total Claims

351K

Providers

392

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 87206? Based on 361 providers billing this code nationally.

Median

$2.64

Average

$3.22

Std Dev

$2.94

Max

$21.70

Percentile Distribution (Cost per Claim)

p10
$0.46
p25
$1.17
Median
$2.64
p75
$4.36
p90
$6.05
p95
$7.75
p99
$15.32

50% of providers bill between $1.17 and $4.36 per claim for this code.

90% bill between $0.46 and $6.05.

Top 1% bill above $15.32.

About This Procedure

HCPCS code 87206 was billed by 392 providers across 351K claims, totaling $971K in Medicaid payments from 2018–2024. This code was used for 273K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.64

Providers Billing

361

National Spending

$971K

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87206

#ProviderTotal Paid
1Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$39K
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$38K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$36K
4Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$28K
51891873303$27K
6University Of Kentucky

Lexington, KY · General Acute Care Hospital

$23K
7Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$21K
8University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$20K
9Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$19K
10The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$18K
11Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$18K
121275562373$16K
13Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$15K
14Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$14K
15Permanente Medical Group Inc.

Berkeley, CA · Clinical Medical Laboratory

$13K
161053334755$13K
17Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$13K
18Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$13K
191356410351$12K
20Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$12K

Showing top 20 of 392 providers billing this code