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

Nebraska

Hospital	Address	Code	Price	Last Updated
Avera St. Anthony's Hospital	300 N 2Nd St, Oneill	L1902	$50 [source]	4 years ago
Chi Health Lakeside	17201 Wright St, Omaha	L1902	$191 [source]	4 years ago
Chi Health Midlands	11111 S 84Th St, Papillion	L1902	$191 [source]	4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy	7500 Mercy Rd, Omaha	L1902	$191 [source]	4 years ago
Chi Health Immanuel	7101 Newport Ave, Omaha	L1902	$191 [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.