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#3639 of 11K

L0641

Lumbar-sacral orthosis, custom fabricated

Lumbar-sacral orthosis, custom fabricated is the #3,639 most-billed Medicaid procedure code, with $1.4M in payments across 29K claims from 2018–2024. The national median cost per claim is $47.83.

Total Paid

$1.4M

0.00% of all spending

Total Claims

29K

Providers

8

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for L0641? Based on 8 providers billing this code nationally.

Median

$47.83

Average

$43.34

Std Dev

$13.16

Max

$58.02

Percentile Distribution (Cost per Claim)

p10
$23.60
p25
$39.69
Median
$47.83
p75
$50.75
p90
$53.75
p95
$55.88
p99
$57.59

50% of providers bill between $39.69 and $50.75 per claim for this code.

90% bill between $23.60 and $53.75.

Top 1% bill above $57.59.

About This Procedure

HCPCS code L0641 (Lumbar-sacral orthosis, custom fabricated) was billed by 8 providers across 29K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.83

Providers Billing

8

National Spending

$1.4M

Avg/Median Ratio

0.91×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L0641

#ProviderTotal Paid
1Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$1.1M
21639375835$240K
3Medcare Equipment Company, Llc

Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$46K
41861496812$19K
5Integra Partners Llc

Troy, MI · Orthotic Fitter

$11K
6Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$2K
7Djo, Llc

Carlsbad, CA · Prosthetic/Orthotic Supplier

$735
81972671683$646

Showing top 8 of 8 providers billing this code