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#6894 of 11K

L3209

HCPCS Procedure Code

HCPCS code L3209 is the #6,894 most-billed Medicaid procedure code, with $38K in payments across 843 claims from 2018–2024. The national median cost per claim is $30.24.

Total Paid

$38K

0.00% of all spending

Total Claims

843

Providers

4

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for L3209? Based on 4 providers billing this code nationally.

Median

$30.24

Average

$33.00

Std Dev

$11.61

Max

$47.93

Percentile Distribution (Cost per Claim)

p10
$23.72
p25
$23.89
Median
$30.24
p75
$39.35
p90
$44.50
p95
$46.22
p99
$47.59

50% of providers bill between $23.89 and $39.35 per claim for this code.

90% bill between $23.72 and $44.50.

Top 1% bill above $47.59.

About This Procedure

HCPCS code L3209 was billed by 4 providers across 843 claims, totaling $38K in Medicaid payments from 2018–2024. This code was used for 545 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.24

Providers Billing

4

National Spending

$38K

Avg/Median Ratio

1.09×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.