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
Texas
Hospital Address Code Price Last Updated
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg L1902 $17 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen L1902 $17 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen L1902 $17 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor L1902 $53 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls L1902 $53 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station L1902 $53 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham L1902 $53 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda L1902 $66 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple L1902 $66 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy L1902 $66 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin L1902 $66 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville L1902 $66 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison L1902 $82 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville L1902 $101 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth L1902 $125 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco L1902 $127 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass L1902 $149 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Pearland 2121 Business Center Drive, Pearland L1902 $174 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of City View 6701 Oakmont Blvd, Fort Worth L1902 $174 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford L1902 $189 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Richardson 3351 Waterview Parkway, Richardson L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Arlington 3200 Matlock Rd, Arlington L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Wichita Falls 3901 Armory Rd, Wichita Falls L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Abilene 6401 Directors Pkwy, Abilene L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Midland Odessa 1800 Heritage Blvd, Midland L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Texarkana 515 W 12Th St, Texarkana L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Dallas 7930 Northaven Rd, Dallas L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of San Antonio 9119 Cinnamon Hl, San Antonio L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Plano 2800 W 15Th St, Plano L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of The Woodlands 18550 I H 45 S, Conroe L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Round Rock 1400 Hesters Crossing Rd, Round Rock L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Cypress 13031 Wortham Center Dr, Houston L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Humble 19002 Mckay Dr, Humble L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital The Vintage 20180 Chasewood Park Drive, Houston L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Vision Park 117 Vision Park Blvd, Conroe L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Sugar Land 1325 Highway 6, Sugar Land L1902 $199 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Austin 330 W. Ben White Blvd., Austin L1902 $199 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas L1902 $202 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen L1902 $202 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson L1902 $202 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving L1902 $274 [source] 4 years ago
Medical City Mckinney 13155 Noel Rd. Suite 200, Dallas L1902 $286 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth L1902 $343 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston L1902 $387 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington L1902 $479 [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.