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#3890 of 11K

L1843

HCPCS Procedure Code

HCPCS code L1843 is the #3,890 most-billed Medicaid procedure code, with $1.0M in payments across 4K claims from 2018–2024. The national median cost per claim is $203.99. Costs vary widely — the 90th percentile is $533.60 per claim, 2.6× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

4K

Providers

26

Avg Cost/Claim

$275

National Cost Distribution

How much do providers bill per claim for L1843? Based on 24 providers billing this code nationally.

Median

$203.99

Average

$242.41

Std Dev

$207.87

Max

$731.43

Percentile Distribution (Cost per Claim)

p10
$19.84
p25
$47.05
Median
$203.99
p75
$394.67
p90
$533.60
p95
$544.03
p99
$688.75

50% of providers bill between $47.05 and $394.67 per claim for this code.

90% bill between $19.84 and $533.60.

Top 1% bill above $688.75.

About This Procedure

HCPCS code L1843 was billed by 26 providers across 4K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$203.99

Providers Billing

24

National Spending

$1.0M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L1843

#ProviderTotal Paid
11659458040$287K
21699850073$250K
31336552140$164K
41154876670$123K
5Integra Partners Llc

Troy, MI · Orthotic Fitter

$52K
61164708806$45K
71437555299$17K
81780866079$12K
91801364781$12K
101700096393$12K
111700119559$11K
121225197015$11K
131144527003$10K
141366501546$10K
151376913301$7K
161922750694$6K
171538799333$5K
181033734710$5K
191164586103$4K
201134826357$2K

Showing top 20 of 26 providers billing this code