#2855 of 11K

L1906

Ankle-foot orthosis, multiligamentous ankle support

Ankle-foot orthosis, multiligamentous ankle support is the #2,855 most-billed Medicaid procedure code, with $3.3M in payments across 55K claims from 2018–2024. The national median cost per claim is $61.75.

Total Paid

$3.3M

0.00% of all spending

Total Claims

55K

Providers

Avg Cost/Claim

$60

National Cost Distribution

How much do providers bill per claim for L1906? Based on 93 providers billing this code nationally.

Median

$61.75

Average

$62.96

Std Dev

$35.65

Max

$180.09

Percentile Distribution (Cost per Claim)

p10

$13.90

p25

$41.11

Median

$61.75

p75

$82.88

p90

$100.39

p95

$131.73

p99

$155.09

50% of providers bill between $41.11 and $82.88 per claim for this code.

90% bill between $13.90 and $100.39.

Top 1% bill above $155.09.

About This Procedure

HCPCS code L1906 (Ankle-foot orthosis, multiligamentous ankle support) was billed by 97 providers across 55K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.75

Providers Billing

National Spending

$3.3M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L1906

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Integra Partners Llc Troy, MI · Orthotic Fitter	$772K	$52.74	0.9× median	Below Median
2	1326048893	$768K	$75.56	1.2× median	Above Median
3	1669635173	$332K	$49.91	0.8× median	Below Median
4	1679564546	$124K	$82.79	1.3× median	Above Median
5	1164586103	$120K	$76.76	1.2× median	Above Median
6	1639255599	$116K	$51.85	0.8× median	Below Median
7	1790098218	$109K	$147.19	2.4× median	Top 10%
8	1154731016	$98K	$58.96	1.0× median	Below Median
9	1457354219	$91K	$57.37	0.9× median	Below Median
10	1043615867	$72K	$36.38	0.6× median	Below Median
11	1962413765	$49K	$86.24	1.4× median	Above 75th
12	1609170398	$39K	$51.23	0.8× median	Below Median
13	1568575439	$34K	$58.80	1.0× median	Below Median
14	1417304080	$33K	$78.23	1.3× median	Above Median
15	1699850073	$31K	$49.18	0.8× median	Below Median
16	1912955881	$31K	$95.38	1.5× median	Above 75th
17	1215983366	$29K	$71.16	1.2× median	Above Median
18	1699002477	$28K	$68.66	1.1× median	Above Median
19	1629476510	$28K	$95.09	1.5× median	Above 75th
20	1346609393	$28K	$38.09	0.6× median	Below Median

Showing top 20 of 97 providers billing this code

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