L3206
HCPCS Procedure Code
HCPCS code L3206 is the #3,050 most-billed Medicaid procedure code, with $2.7M in payments across 76K claims from 2018–2024. The national median cost per claim is $34.71. Costs vary widely — the 90th percentile is $99.73 per claim, 2.9× the median.
Total Paid
$2.7M
0.00% of all spending
Total Claims
76K
Providers
40
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for L3206? Based on 40 providers billing this code nationally.
Median
$34.71
Average
$58.00
Std Dev
$65.19
Max
$266.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.48 and $48.41 per claim for this code.
90% bill between $22.67 and $99.73.
Top 1% bill above $257.82.
About This Procedure
HCPCS code L3206 was billed by 40 providers across 76K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.71
Providers Billing
40
National Spending
$2.7M
Avg/Median Ratio
1.67×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for L3206
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $933K |
| 2 | 1023213295 | $556K |
| 3 | 1669635173 | $258K |
| 4 | 1265580682 | $161K |
| 5 | 1811345101 | $141K |
| 6 | 1306041306 | $95K |
| 7 | 1588202105 | $78K |
| 8 | 1528243177 | $65K |
| 9 | 1316138241 | $58K |
| 10 | 1255668737 | $39K |
| 11 | 1770065237 | $33K |
| 12 | 1275170938 | $32K |
| 13 | 1215912779 | $30K |
| 14 | 1518423508 | $24K |
| 15 | 1699393181 | $24K |
| 16 | 1437768223 | $16K |
| 17 | 1215304878 | $16K |
| 18 | 1003372954 | $13K |
| 19 | 1538230461 | $10K |
| 20 | 1962749838 | $9K |
Showing top 20 of 40 providers billing this code