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
Illinois
Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook L1902 $88 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee L1902 $118 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village L1902 $154 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale L1902 $158 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange L1902 $160 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights L1902 $160 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, L1902 $160 [source] 4 years ago
Van Matre Encompass Health Rehabilitation Hospital 950 S Mulford Rd, Rockford L1902 $237 [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.