L1686
HCPCS Procedure Code
HCPCS code L1686 is the #3,945 most-billed Medicaid procedure code, with $992K in payments across 2K claims from 2018–2024. The national median cost per claim is $189.37. Costs vary widely — the 90th percentile is $673.65 per claim, 3.6× the median.
Total Paid
$992K
0.00% of all spending
Total Claims
2K
Providers
11
Avg Cost/Claim
$536
National Cost Distribution
How much do providers bill per claim for L1686? Based on 10 providers billing this code nationally.
Median
$189.37
Average
$346.26
Std Dev
$374.98
Max
$1,198.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $68.13 and $551.18 per claim for this code.
90% bill between $54.95 and $673.65.
Top 1% bill above $1,145.91.
About This Procedure
HCPCS code L1686 was billed by 11 providers across 2K claims, totaling $992K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$189.37
Providers Billing
10
National Spending
$992K
Avg/Median Ratio
1.83×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for L1686
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093819419 | $446K |
| 2 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $337K |
| 3 | 1942238514 | $112K |
| 4 | 1336552140 | $79K |
| 5 | 1356372809 | $7K |
| 6 | 1912540022 | $4K |
| 7 | 1659997393 | $3K |
| 8 | 1982257002 | $2K |
| 9 | 1255822615 | $1K |
| 10 | 1902435803 | $936 |
| 11 | 1457973240 | $0 |
Showing top 11 of 11 providers billing this code