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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls L1902 $2 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton L1902 $72 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton L1902 $80 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee L1902 $80 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette L1902 $80 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc L1902 $80 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay L1902 $80 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee L1902 $80 [source] 4 years ago
Upland Hills Health 800 Compassion Way, Dodgeville L1902 $92 [source] 4 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage L1902 $122 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids L1902 $122 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, L1902 $122 [source] 4 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo L1902 $122 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau L1902 $122 [source] 4 years ago
Prairie Ridge Health 1515 Park Ave, Columbus L1902 $159 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand L1902 $202 [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.