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#7400 of 11K

L3257

HCPCS Procedure Code

HCPCS code L3257 is the #7,400 most-billed Medicaid procedure code, with $19K in payments across 992 claims from 2018–2024. The national median cost per claim is $20.22.

Total Paid

$19K

0.00% of all spending

Total Claims

992

Providers

3

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for L3257? Based on 3 providers billing this code nationally.

Median

$20.22

Average

$20.40

Std Dev

$13.50

Max

$34.00

Percentile Distribution (Cost per Claim)

p10
$9.64
p25
$13.61
Median
$20.22
p75
$27.11
p90
$31.24
p95
$32.62
p99
$33.72

50% of providers bill between $13.61 and $27.11 per claim for this code.

90% bill between $9.64 and $31.24.

Top 1% bill above $33.72.

About This Procedure

HCPCS code L3257 was billed by 3 providers across 992 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 937 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.22

Providers Billing

3

National Spending

$19K

Avg/Median Ratio

1.01×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.