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

Maine

Hospital	Address	Code	Price	Last Updated
Sebasticook Valley Health	447 N Main St, Pittsfield	L1902	$58 [source]	4 years ago
Northern Light A.r. Gould Hospital	140 Academy St, Presque Isle	L1902	$85 [source]	4 years ago
Eastern Maine Medical Center	489 State St, Bangor	L1902	$191 [source]	4 years ago
Mercy Hospital	144 State St, Portland	L1902	$299 [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 §180.