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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $39K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $38K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $36K |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $28K |
| 5 | 1891873303 | $27K |
| 6 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $23K |
| 7 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $21K |
| 8 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $20K |
| 9 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $19K |
| 10 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $18K |
| 11 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $18K |
| 12 | 1275562373 | $16K |
| 13 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $15K |
| 14 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $14K |
| 15 | Permanente Medical Group Inc. Berkeley, CA · Clinical Medical Laboratory | $13K |
| 16 | 1053334755 | $13K |
| 17 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $13K |
| 18 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $13K |
| 19 | 1356410351 | $12K |
| 20 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $12K |
Showing top 20 of 392 providers billing this code