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
Massachusetts
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of Braintree 250 Pond St, Braintree L1902 $98 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Western Massachusetts 222 State St, Ludlow L1902 $119 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of New England 2 Rehabilitation Way, Woburn L1902 $130 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown L1902 $178 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs L1902 $285 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem L1902 $431 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain L1902 $431 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls L1902 $431 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge L1902 $503 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston L1902 $503 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich L1902 $503 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton L1902 $503 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket L1902 $503 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont L1902 $503 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston L1902 $503 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston L1902 $503 [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.