L3260
HCPCS Procedure Code
HCPCS code L3260 is the #2,465 most-billed Medicaid procedure code, with $5.6M in payments across 289K claims from 2018–2024. The national median cost per claim is $16.57. Costs vary widely — the 90th percentile is $42.54 per claim, 2.6× the median.
Total Paid
$5.6M
0.00% of all spending
Total Claims
289K
Providers
295
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for L3260? Based on 275 providers billing this code nationally.
Median
$16.57
Average
$23.98
Std Dev
$36.49
Max
$552.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.66 and $30.62 per claim for this code.
90% bill between $5.01 and $42.54.
Top 1% bill above $84.33.
About This Procedure
HCPCS code L3260 was billed by 295 providers across 289K claims, totaling $5.6M in Medicaid payments from 2018–2024. This code was used for 257K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.57
Providers Billing
275
National Spending
$5.6M
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L3260
| # | Provider | Total Paid |
|---|---|---|
| 1 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $669K |
| 2 | 1326048893 | $641K |
| 3 | 1790747244 | $350K |
| 4 | 1043251341 | $330K |
| 5 | 1669417531 | $271K |
| 6 | 1275784001 | $137K |
| 7 | 1891787594 | $128K |
| 8 | 1831101948 | $117K |
| 9 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $115K |
| 10 | 1114987344 | $98K |
| 11 | 1275523581 | $96K |
| 12 | 1306836465 | $93K |
| 13 | 1265554984 | $78K |
| 14 | 1669532248 | $70K |
| 15 | 1487646360 | $68K |
| 16 | 1174573307 | $68K |
| 17 | 1245237643 | $63K |
| 18 | 1801866173 | $60K |
| 19 | 1427179753 | $57K |
| 20 | 1306960760 | $56K |
Showing top 20 of 295 providers billing this code