L0641
Lumbar-sacral orthosis, custom fabricated
Lumbar-sacral orthosis, custom fabricated is the #3,639 most-billed Medicaid procedure code, with $1.4M in payments across 29K claims from 2018–2024. The national median cost per claim is $47.83.
Total Paid
$1.4M
0.00% of all spending
Total Claims
29K
Providers
8
Avg Cost/Claim
$49
National Cost Distribution
How much do providers bill per claim for L0641? Based on 8 providers billing this code nationally.
Median
$47.83
Average
$43.34
Std Dev
$13.16
Max
$58.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $39.69 and $50.75 per claim for this code.
90% bill between $23.60 and $53.75.
Top 1% bill above $57.59.
About This Procedure
HCPCS code L0641 (Lumbar-sacral orthosis, custom fabricated) was billed by 8 providers across 29K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$47.83
Providers Billing
8
National Spending
$1.4M
Avg/Median Ratio
0.91×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L0641
| # | Provider | Total Paid |
|---|---|---|
| 1 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $1.1M |
| 2 | 1639375835 | $240K |
| 3 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $46K |
| 4 | 1861496812 | $19K |
| 5 | Integra Partners Llc Troy, MI · Orthotic Fitter | $11K |
| 6 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $2K |
| 7 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $735 |
| 8 | 1972671683 | $646 |
Showing top 8 of 8 providers billing this code