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
Indiana
Hospital Address Code Price Last Updated
Iu Health Bedford Hospital 2900 W 16Th St, Bedford L1902 $69 [source] 4 years ago
Franciscan Health Indianapolis , Indianapolis L1902 $95 [source] 4 years ago
Iu Health Blackford Hospital 410 Pilgrim Blvd, Hartford City L1902 $96 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L1902 $146 [source] 4 years ago
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L1902 $146 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L1902 $146 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L1902 $146 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L1902 $146 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L1902 $146 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L1902 $146 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L1902 $146 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L1902 $146 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L1902 $146 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L1902 $146 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L1902 $146 [source] 4 years ago
Encompass Health Deaconess Rehabilitation Hospital 9355 Warrick Trl, Newburgh L1902 $199 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L1902 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, L1902 $6,012 [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.