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#6470 of 11K

L3420

HCPCS Procedure Code

HCPCS code L3420 is the #6,470 most-billed Medicaid procedure code, with $63K in payments across 2,345 claims from 2018–2024. The national median cost per claim is $31.33.

Total Paid

$63K

0.00% of all spending

Total Claims

2,345

Providers

4

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for L3420? Based on 4 providers billing this code nationally.

Median

$31.33

Average

$32.34

Std Dev

$6.01

Max

$40.42

Percentile Distribution (Cost per Claim)

p10
$27.36
p25
$29.01
Median
$31.33
p75
$34.66
p90
$38.12
p95
$39.27
p99
$40.19

50% of providers bill between $29.01 and $34.66 per claim for this code.

90% bill between $27.36 and $38.12.

Top 1% bill above $40.19.

About This Procedure

HCPCS code L3420 was billed by 4 providers across 2,345 claims, totaling $63K in Medicaid payments from 2018–2024. This code was used for 1,197 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.33

Providers Billing

4

National Spending

$63K

Avg/Median Ratio

1.03×

Normal distribution

Provider Coverage

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

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