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#3628 of 11K

L3906

HCPCS Procedure Code

HCPCS code L3906 is the #3,628 most-billed Medicaid procedure code, with $1.4M in payments across 9K claims from 2018–2024. The national median cost per claim is $235.57.

Total Paid

$1.4M

0.00% of all spending

Total Claims

9K

Providers

38

Avg Cost/Claim

$153

National Cost Distribution

How much do providers bill per claim for L3906? Based on 33 providers billing this code nationally.

Median

$235.57

Average

$199.27

Std Dev

$118.26

Max

$445.18

Percentile Distribution (Cost per Claim)

p10
$4.51
p25
$104.73
Median
$235.57
p75
$279.41
p90
$316.84
p95
$325.48
p99
$407.73

50% of providers bill between $104.73 and $279.41 per claim for this code.

90% bill between $4.51 and $316.84.

Top 1% bill above $407.73.

About This Procedure

HCPCS code L3906 was billed by 38 providers across 9K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$235.57

Providers Billing

33

National Spending

$1.4M

Avg/Median Ratio

0.85×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3906

#ProviderTotal Paid
11639110547$413K
21639587504$285K
31487748059$182K
41558612135$108K
51699874248$79K
61528243177$52K
71487652749$48K
81396819546$45K
91265470645$37K
101780728550$28K
111023006566$17K
121508956509$14K
131093777070$14K
141982959698$13K
151750506713$9K
161962855254$8K
171922048313$8K
181285635235$7K
191952798373$6K
201073569554$6K

Showing top 20 of 38 providers billing this code