#3606 of 11K

L3170

HCPCS Procedure Code

HCPCS code L3170 is the #3,606 most-billed Medicaid procedure code, with $1.4M in payments across 53K claims from 2018–2024. The national median cost per claim is $4.28. Costs vary widely — the 90th percentile is $42.59 per claim, 10.0× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

53K

Providers

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for L3170? Based on 36 providers billing this code nationally.

Median

$4.28

Average

$18.27

Std Dev

$25.48

Max

$110.27

Percentile Distribution (Cost per Claim)

p10

$1.33

p25

$2.11

Median

$4.28

p75

$24.49

p90

$42.59

p95

$65.79

p99

$104.81

50% of providers bill between $2.11 and $24.49 per claim for this code.

90% bill between $1.33 and $42.59.

Top 1% bill above $104.81.

About This Procedure

HCPCS code L3170 was billed by 38 providers across 53K 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

$4.28

Providers Billing

National Spending

$1.4M

Avg/Median Ratio

4.27×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for L3170

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1811345101	$490K	$23.41	5.5× median	Above Median
2	Integra Partners Llc Troy, MI · Orthotic Fitter	$433K	$30.75	7.2× median	Above 75th
3	1669635173	$119K	$23.99	5.6× median	Above Median
4	1922392729	$99K	$56.17	13.1× median	Top 10%
5	1629089016	$97K	$25.98	6.1× median	Above 75th
6	1740435924	$83K	$94.66	22.1× median	Top 10%
7	Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier	$50K	$19.97	4.7× median	Above Median
8	1669417531	$26K	$26.34	6.2× median	Above 75th
9	1891787594	$20K	$22.19	5.2× median	Above Median
10	1235375528	$11K	$110.27	25.8× median	Top 1%
11	1528518537	$6K	$12.95	3.0× median	Above Median
12	1700172582	$2K	$38.07	8.9× median	Above 75th
13	1255668786	$810	$20.76	4.9× median	Above Median
14	1609309889	$786	$43.69	10.2× median	Top 10%
15	1114987344	$498	$41.49	9.7× median	Above 75th
16	1154849859	$472	$1.62	0.4× median	Below Median
17	1245593052	$456	$17.54	4.1× median	Above Median
18	1952801151	$272	$1.69	0.4× median	Below Median
19	1548770647	$254	$3.52	0.8× median	Below Median
20	1639616618	$210	$3.75	0.9× median	Below Median

Showing top 20 of 38 providers billing this code

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