Code: L1902

Description:
Description: Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
BRACE SM ANKL LOPRO
SUPP ANKLE LRG 10-11.5IN
SUPP ANKLE MED 8.5-10IN
BRACE MED ANKL LOPRO NYL
BRACE ANKL LRG UNV
SPLINT AFO ANKL GNTLT
Air Sport/ankle Brace
Afo Ankle Gauntlet
Afo Ankle Gauntlet, Custom Fitted
Related codes:
Code: L1900
Description: Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Code: L1901
ANK ORTHOTIC ELASTIC PREFAB INCLUDES FIT & ADJ
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
State Average # Hospitals In Database
Vermont (VT) $34 1
Minnesota (MN) $36 14
Hawaii (HI) $62 4
North Carolina (NC) $63 14
South Dakota (SD) $77 1
Michigan (MI) $93 3
Colorado (CO) $103 4
Wisconsin (WI) $107 17
Kansas (KS) $123 7
Oregon (OR) $125 1
Ohio (OH) $127 5
Nevada (NV) $133 12
New York (NY) $138 3
Maryland (MD) $139 8
New Mexico (NM) $140 1
West Virginia (WV) $145 5
Pennsylvania (PA) $147 9
Illinois (IL) $154 8
North Dakota (ND) $157 2
Maine (ME) $158 4
Nebraska (NE) $162 5
Kentucky (KY) $166 5
Alabama (AL) $167 8
Texas (TX) $168 47
Washington (WA) $172 2
Tennessee (TN) $174 2
Arkansas (AR) $174 2
South Carolina (SC) $179 5
Iowa (IA) $191 1
New Jersey (NJ) $199 2
Delaware (DE) $199 1
Connecticut (CT) $200 1
Missouri (MO) $221 4
Utah (UT) $229 4
Oklahoma (OK) $234 3
Arizona (AZ) $237 5
Florida (FL) $247 65
Rhode Island (RI) $277 2
California (CA) $348 32
Georgia (GA) $349 11
New Hampshire (NH) $351 2
Massachusetts (MA) $390 17
Louisiana (LA) $599 4
Indiana (IN) $720 20
Virginia (VA) $787 7
Idaho (ID) $832 2

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.