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#3641 of 11K

L3761

HCPCS Procedure Code

HCPCS code L3761 is the #3,641 most-billed Medicaid procedure code, with $1.4M in payments across 7K claims from 2018–2024. The national median cost per claim is $56.41. Costs vary widely — the 90th percentile is $247.74 per claim, 4.4× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

7K

Providers

18

Avg Cost/Claim

$193

National Cost Distribution

How much do providers bill per claim for L3761? Based on 18 providers billing this code nationally.

Median

$56.41

Average

$113.35

Std Dev

$102.93

Max

$281.35

Percentile Distribution (Cost per Claim)

p10
$12.65
p25
$23.48
Median
$56.41
p75
$213.84
p90
$247.74
p95
$258.25
p99
$276.73

50% of providers bill between $23.48 and $213.84 per claim for this code.

90% bill between $12.65 and $247.74.

Top 1% bill above $276.73.

About This Procedure

HCPCS code L3761 was billed by 18 providers across 7K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.41

Providers Billing

18

National Spending

$1.4M

Avg/Median Ratio

2.01×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for L3761

#ProviderTotal Paid
1Djo, Llc

Carlsbad, CA · Prosthetic/Orthotic Supplier

$801K
21891787594$334K
31326048893$140K
41003117508$42K
51386643856$34K
61306836465$9K
71457354219$8K
81154849859$4K
91376291674$3K
101790747244$3K
111962633685$2K
121154493203$2K
131639616618$1K
141427120351$1K
151154579597$1K
161841291200$855
171952984882$644
181962932566$265

Showing top 18 of 18 providers billing this code