L3809
HCPCS Procedure Code
HCPCS code L3809 is the #965 most-billed Medicaid procedure code, with $52.8M in payments across 445K claims from 2018–2024. The national median cost per claim is $115.28.
Total Paid
$52.8M
0.00% of all spending
Total Claims
445K
Providers
325
Avg Cost/Claim
$119
National Cost Distribution
How much do providers bill per claim for L3809? Based on 320 providers billing this code nationally.
Median
$115.28
Average
$114.32
Std Dev
$48.23
Max
$338.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $82.29 and $142.64 per claim for this code.
90% bill between $56.22 and $170.68.
Top 1% bill above $242.20.
About This Procedure
HCPCS code L3809 was billed by 325 providers across 445K claims, totaling $52.8M in Medicaid payments from 2018–2024. This code was used for 391K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$115.28
Providers Billing
320
National Spending
$52.8M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L3809
| # | Provider | Total Paid |
|---|---|---|
| 1 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $6.5M |
| 2 | 1891787594 | $6.3M |
| 3 | 1326048893 | $6.1M |
| 4 | Integra Partners Llc Troy, MI · Orthotic Fitter | $2.0M |
| 5 | 1669417531 | $1.9M |
| 6 | 1861573685 | $1.6M |
| 7 | 1790747244 | $1.2M |
| 8 | 1306836465 | $1.1M |
| 9 | 1285082610 | $827K |
| 10 | 1710900857 | $753K |
| 11 | 1669635173 | $747K |
| 12 | 1043251341 | $692K |
| 13 | 1467826263 | $638K |
| 14 | 1831289826 | $594K |
| 15 | 1750582920 | $577K |
| 16 | 1447553144 | $571K |
| 17 | 1962413765 | $547K |
| 18 | 1871038034 | $521K |
| 19 | 1245266469 | $513K |
| 20 | 1669532248 | $504K |
Showing top 20 of 325 providers billing this code