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#5449 of 11K

L3580

HCPCS Procedure Code

HCPCS code L3580 is the #5,449 most-billed Medicaid procedure code, with $196K in payments across 6,207 claims from 2018–2024. The national median cost per claim is $43.52.

Total Paid

$196K

0.00% of all spending

Total Claims

6,207

Providers

3

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for L3580? Based on 3 providers billing this code nationally.

Median

$43.52

Average

$40.05

Std Dev

$7.95

Max

$45.67

Percentile Distribution (Cost per Claim)

p10
$33.47
p25
$37.23
Median
$43.52
p75
$44.59
p90
$45.24
p95
$45.45
p99
$45.63

50% of providers bill between $37.23 and $44.59 per claim for this code.

90% bill between $33.47 and $45.24.

Top 1% bill above $45.63.

About This Procedure

HCPCS code L3580 was billed by 3 providers across 6,207 claims, totaling $196K in Medicaid payments from 2018–2024. This code was used for 4,925 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.52

Providers Billing

3

National Spending

$196K

Avg/Median Ratio

0.92×

Normal distribution

Provider Coverage

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