L3255
HCPCS Procedure Code
HCPCS code L3255 is the #8,177 most-billed Medicaid procedure code, with $5K in payments across 281 claims from 2018–2024. The national median cost per claim is $18.88.
Total Paid
$5K
0.00% of all spending
Total Claims
281
Providers
3
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for L3255? Based on 3 providers billing this code nationally.
Median
$18.88
Average
$20.89
Std Dev
$6.39
Max
$28.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.31 and $23.47 per claim for this code.
90% bill between $16.37 and $26.21.
Top 1% bill above $27.86.
About This Procedure
HCPCS code L3255 was billed by 3 providers across 281 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 252 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.88
Providers Billing
3
National Spending
$5K
Avg/Median Ratio
1.11×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.