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#3098 of 11K

L3485

HCPCS Procedure Code

HCPCS code L3485 is the #3,098 most-billed Medicaid procedure code, with $2.5M in payments across 96K claims from 2018–2024. The national median cost per claim is $23.92.

Total Paid

$2.5M

0.00% of all spending

Total Claims

96K

Providers

25

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for L3485? Based on 25 providers billing this code nationally.

Median

$23.92

Average

$26.34

Std Dev

$8.03

Max

$47.07

Percentile Distribution (Cost per Claim)

p10
$19.03
p25
$22.79
Median
$23.92
p75
$32.94
p90
$35.09
p95
$35.98
p99
$44.43

50% of providers bill between $22.79 and $32.94 per claim for this code.

90% bill between $19.03 and $35.09.

Top 1% bill above $44.43.

About This Procedure

HCPCS code L3485 was billed by 25 providers across 96K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 49K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.92

Providers Billing

25

National Spending

$2.5M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3485

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$904K
21669635173$585K
31982717310$232K
41275170938$210K
51588626964$83K
61437768223$78K
71710037197$67K
81215304878$67K
91003990664$61K
101699393181$52K
111518423508$30K
121013367697$26K
131891855342$23K
141508195066$22K
151811345101$19K
161710216742$11K
171992046379$9K
181932266749$9K
191386901155$6K
201326125246$5K

Showing top 20 of 25 providers billing this code

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