Code: L1904

Description:
Description: Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
ANKLE ORTHOSIS ANKLE GAUNTLET CUSTOM FABRICATED
Afo molded ankle gauntlet
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: L1902
BRACE LG ANKL DRBLE
Code: L1906
BRACE ANKLE RT AIRCAST
Code: L1907
BRACE ORTH ANKL FT GNTLT
Texas
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of San Antonio 9119 Cinnamon Hl, San Antonio L1904 $295 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of The Woodlands 18550 I H 45 S, Conroe L1904 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Round Rock 1400 Hesters Crossing Rd, Round Rock L1904 $842 [source] 4 years ago
Encompass Health Rehabilitation Hospital The Vintage 20180 Chasewood Park Drive, Houston L1904 $842 [source] 4 years ago
Encompass Health Rehabilitation Hospital Vision Park 117 Vision Park Blvd, Conroe L1904 $842 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Austin 330 W. Ben White Blvd., Austin L1904 $842 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Abilene 6401 Directors Pkwy, Abilene L1904 $842 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Richardson 3351 Waterview Parkway, Richardson L1904 $842 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Dallas 7930 Northaven Rd, Dallas L1904 $842 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Pearland 2121 Business Center Drive, Pearland L1904 $887 [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.