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#3911 of 11K

L3430

HCPCS Procedure Code

HCPCS code L3430 is the #3,911 most-billed Medicaid procedure code, with $1.0M in payments across 16K claims from 2018–2024. The national median cost per claim is $65.73. Costs vary widely — the 90th percentile is $152.50 per claim, 2.3× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

16K

Providers

6

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for L3430? Based on 6 providers billing this code nationally.

Median

$65.73

Average

$73.73

Std Dev

$77.01

Max

$206.32

Percentile Distribution (Cost per Claim)

p10
$2.97
p25
$12.29
Median
$65.73
p75
$96.85
p90
$152.50
p95
$179.41
p99
$200.93

50% of providers bill between $12.29 and $96.85 per claim for this code.

90% bill between $2.97 and $152.50.

Top 1% bill above $200.93.

About This Procedure

HCPCS code L3430 was billed by 6 providers across 16K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 7,954 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$65.73

Providers Billing

6

National Spending

$1.0M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3430

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$871K
21437339710$79K
31700816535$56K
41669635173$13K
51982838918$3K
61811345101$933

Showing top 6 of 6 providers billing this code

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