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#5569 of 11K

L8509

HCPCS Procedure Code

HCPCS code L8509 is the #5,569 most-billed Medicaid procedure code, with $175K in payments across 3K claims from 2018–2024. The national median cost per claim is $19.35. Costs vary widely — the 90th percentile is $62.26 per claim, 3.2× the median.

Total Paid

$175K

0.00% of all spending

Total Claims

3K

Providers

5

Avg Cost/Claim

$55

National Cost Distribution

How much do providers bill per claim for L8509? Based on 4 providers billing this code nationally.

Median

$19.35

Average

$28.38

Std Dev

$34.12

Max

$73.15

Percentile Distribution (Cost per Claim)

p10
$1.73
p25
$1.81
Median
$19.35
p75
$45.93
p90
$62.26
p95
$67.71
p99
$72.06

50% of providers bill between $1.81 and $45.93 per claim for this code.

90% bill between $1.73 and $62.26.

Top 1% bill above $72.06.

About This Procedure

HCPCS code L8509 was billed by 5 providers across 3K claims, totaling $175K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.35

Providers Billing

4

National Spending

$175K

Avg/Median Ratio

1.47×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L8509

#ProviderTotal Paid
11962452755$173K
2State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$1K
31679660617$516
4The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$26
51639101751$0

Showing top 5 of 5 providers billing this code