L3960
HCPCS Procedure Code
HCPCS code L3960 is the #2,889 most-billed Medicaid procedure code, with $3.1M in payments across 18K claims from 2018–2024. The national median cost per claim is $31.90. Costs vary widely — the 90th percentile is $358.48 per claim, 11.2× the median.
Total Paid
$3.1M
0.00% of all spending
Total Claims
18K
Providers
114
Avg Cost/Claim
$170
National Cost Distribution
How much do providers bill per claim for L3960? Based on 101 providers billing this code nationally.
Median
$31.90
Average
$108.84
Std Dev
$162.65
Max
$1,035.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.94 and $190.24 per claim for this code.
90% bill between $5.44 and $358.48.
Top 1% bill above $488.87.
About This Procedure
HCPCS code L3960 was billed by 114 providers across 18K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.90
Providers Billing
101
National Spending
$3.1M
Avg/Median Ratio
3.41×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for L3960
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396821583 | $666K |
| 2 | 1457354219 | $547K |
| 3 | 1770096372 | $510K |
| 4 | 1942238514 | $408K |
| 5 | 1932187317 | $303K |
| 6 | Integra Partners Llc Troy, MI · Orthotic Fitter | $113K |
| 7 | 1841291200 | $93K |
| 8 | 1699850073 | $68K |
| 9 | 1316116858 | $46K |
| 10 | 1528465028 | $35K |
| 11 | 1972552990 | $29K |
| 12 | 1114987344 | $19K |
| 13 | 1750488680 | $17K |
| 14 | 1578052627 | $15K |
| 15 | 1891787594 | $14K |
| 16 | 1740287085 | $13K |
| 17 | 1225197015 | $11K |
| 18 | 1639616618 | $9K |
| 19 | 1154849859 | $8K |
| 20 | 1700875564 | $8K |
Showing top 20 of 114 providers billing this code