L5968
HCPCS Procedure Code
HCPCS code L5968 is the #6,981 most-billed Medicaid procedure code, with $34K in payments across 32 claims from 2018–2024. The national median cost per claim is $1,040.04.
Total Paid
$34K
0.00% of all spending
Total Claims
32
Providers
2
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for L5968? Based on 2 providers billing this code nationally.
Median
$1,040.04
Average
$1,040.04
Std Dev
$210.65
Max
$1,188.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $965.56 and $1,114.51 per claim for this code.
90% bill between $920.87 and $1,159.20.
Top 1% bill above $1,186.01.
About This Procedure
HCPCS code L5968 was billed by 2 providers across 32 claims, totaling $34K in Medicaid payments from 2018–2024. This code was used for 27 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,040.04
Providers Billing
2
National Spending
$34K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.