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
California
Hospital Address Code Price Last Updated
Kentfield Hospital 1125 Sir Francis Drake Blvd., Greenbrae L1902 $75 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula L1902 $97 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale L1902 $107 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks L1902 $169 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco L1902 $173 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills L1902 $173 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento L1902 $173 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch L1902 $173 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto L1902 $173 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville L1902 $173 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro L1902 $173 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek L1902 $173 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara L1902 $173 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento L1902 $173 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond L1902 $173 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon L1902 $173 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City L1902 $173 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo L1902 $173 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael L1902 $173 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco L1902 $173 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno L1902 $173 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville L1902 $173 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose L1902 $173 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Bakersfield 5001 Commerce Dr, Bakersfield L1902 $209 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Modesto 1303 Mable Avenue, Modesto L1902 $237 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Tustin 14851 Yorba St, Tustin L1902 $237 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose L1902 $294 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar L1902 $2,894 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta L1902 $2,894 [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.