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#1610 of 11K

L4350

HCPCS Procedure Code

HCPCS code L4350 is the #1,610 most-billed Medicaid procedure code, with $17.8M in payments across 329K claims from 2018–2024. The national median cost per claim is $52.71.

Total Paid

$17.8M

0.00% of all spending

Total Claims

329K

Providers

290

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for L4350? Based on 274 providers billing this code nationally.

Median

$52.71

Average

$52.24

Std Dev

$44.98

Max

$560.52

Percentile Distribution (Cost per Claim)

p10
$12.23
p25
$36.88
Median
$52.71
p75
$62.57
p90
$71.26
p95
$81.64
p99
$198.89

50% of providers bill between $36.88 and $62.57 per claim for this code.

90% bill between $12.23 and $71.26.

Top 1% bill above $198.89.

About This Procedure

HCPCS code L4350 was billed by 290 providers across 329K claims, totaling $17.8M in Medicaid payments from 2018–2024. This code was used for 307K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.71

Providers Billing

274

National Spending

$17.8M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L4350

#ProviderTotal Paid
11326048893$1.7M
21891787594$1.5M
31306836465$1.5M
4Djo, Llc

Carlsbad, CA · Prosthetic/Orthotic Supplier

$1.5M
51043251341$910K
61669417531$769K
71790747244$429K
81861573685$422K
91376627224$405K
101750582920$335K
111346248341$332K
121669532248$307K
131245266469$300K
141275523581$247K
151912909086$227K
161245237643$201K
171053440321$199K
181447553144$195K
191831289826$194K
201275784001$162K

Showing top 20 of 290 providers billing this code

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