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#5085 of 11K

L3207

HCPCS Procedure Code

HCPCS code L3207 is the #5,085 most-billed Medicaid procedure code, with $297K in payments across 9,498 claims from 2018–2024. The national median cost per claim is $31.24.

Total Paid

$297K

0.00% of all spending

Total Claims

9,498

Providers

6

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for L3207? Based on 6 providers billing this code nationally.

Median

$31.24

Average

$33.34

Std Dev

$11.86

Max

$56.20

Percentile Distribution (Cost per Claim)

p10
$24.14
p25
$26.15
Median
$31.24
p75
$32.83
p90
$44.64
p95
$50.42
p99
$55.04

50% of providers bill between $26.15 and $32.83 per claim for this code.

90% bill between $24.14 and $44.64.

Top 1% bill above $55.04.

About This Procedure

HCPCS code L3207 was billed by 6 providers across 9,498 claims, totaling $297K in Medicaid payments from 2018–2024. This code was used for 4,704 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.24

Providers Billing

6

National Spending

$297K

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3207

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$232K
21669635173$30K
31962749838$19K
41699393181$15K
51528243177$1K
61588202105$971

Showing top 6 of 6 providers billing this code