Code: L1907

Description:
Description: Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
HC AFO SUPRAMALLEOLAR W/STRAPS CUSTOM FABRICATED
ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM
AFO, SUPRAMALLEOLAR /C STRAPS CUSTOM
AFO SUPRAMALLEOLAR CUSTOM TIER 001
AFO SUPRAMALLEOLAR CUSTOM TIER 002
AFO SUPRAMALLEOLAR CUSTOM TIER 003
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: 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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L1907 $1,223 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L1907 $1,223 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L1907 $1,223 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L1907 $1,223 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L1907 $1,223 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L1907 $1,223 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L1907 $1,223 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L1907 $1,223 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L1907 $1,223 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L1907 $1,223 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L1907 $1,223 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L1907 $1,223 [source] 4 years ago
Encompass Health Deaconess Rehabilitation Hospital 9355 Warrick Trl, Newburgh L1907 $1,334 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L1907 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, L1907 $6,012 [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.