Code: L1901

Description:
ANK ORTHOTIC ELASTIC PREFAB INCLUDES FIT & ADJ
Other Descriptions:
Prefab ankle orthosis
Related codes:
Code: L1900
Description: Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Code: L1902
BRACE LG ANKL DRBLE
Code: L1904
Description: Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Code: L1906
BRACE ANKLE RT AIRCAST
Code: L1907
BRACE ORTH ANKL FT GNTLT
Illinois
Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook L1901 $21 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee L1901 $28 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village L1901 $36 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale L1901 $37 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange L1901 $38 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights L1901 $38 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, L1901 $38 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.