#2093 of 11K

L3217

HCPCS Procedure Code

HCPCS code L3217 is the #2,093 most-billed Medicaid procedure code, with $9.2M in payments across 130K claims from 2018–2024. The national median cost per claim is $74.76.

Total Paid

$9.2M

0.00% of all spending

Total Claims

130K

Providers

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for L3217? Based on 50 providers billing this code nationally.

Median

$74.76

Average

$77.48

Std Dev

$27.36

Max

$153.41

Percentile Distribution (Cost per Claim)

p10

$49.07

p25

$57.68

Median

$74.76

p75

$86.03

p90

$111.97

p95

$135.61

p99

$148.61

50% of providers bill between $57.68 and $86.03 per claim for this code.

90% bill between $49.07 and $111.97.

Top 1% bill above $148.61.

About This Procedure

HCPCS code L3217 was billed by 50 providers across 130K claims, totaling $9.2M in Medicaid payments from 2018–2024. This code was used for 69K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$74.76

Providers Billing

National Spending

$9.2M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3217

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Integra Partners Llc Troy, MI · Orthotic Fitter	$3.2M	$76.50	1.0× median	Above Median
2	1013367697	$755K	$83.07	1.1× median	Above Median
3	1275170938	$689K	$49.72	0.7× median	Below Median
4	1669635173	$680K	$54.73	0.7× median	Below Median
5	1003990664	$570K	$66.71	0.9× median	Below Median
6	1235203852	$503K	$73.58	1.0× median	Below Median
7	1003247297	$459K	$143.62	1.9× median	Top 10%
8	1437768223	$285K	$48.03	0.6× median	Below Median
9	1770125627	$238K	$65.53	0.9× median	Below Median
10	1518423508	$225K	$64.44	0.9× median	Below Median
11	1891855342	$215K	$78.95	1.1× median	Above Median
12	1386660751	$213K	$75.44	1.0× median	Above Median
13	1629089016	$181K	$63.59	0.9× median	Below Median
14	1265565758	$178K	$79.26	1.1× median	Above Median
15	1477910610	$106K	$80.66	1.1× median	Above Median
16	1144618794	$74K	$93.61	1.3× median	Above 75th
17	1003314550	$71K	$153.41	2.1× median	Top 1%
18	1134521487	$60K	$82.34	1.1× median	Above Median
19	1710164421	$46K	$96.31	1.3× median	Above 75th
20	1326125246	$45K	$80.84	1.1× median	Above Median

Showing top 20 of 50 providers billing this code

Related Procedures

L3216$24.9M L3215$17.0M L3221$16.6M L3219$13.6M L3222$5.4M

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